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Organization
NEMOU MEDICAL LLC
Active
Organization
NEMOU MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHALIL NEMOU M.D. (PRESIDENT)
(386) 898-9801
Entity
Organization
Contact information
Practice address
231 RIVERSIDE DR UNIT 2309, HOLLY HILL, FL 32117-4964
(330) 774-3371
(888) 959-3690
Mailing address
231 RIVERSIDE DRIVE, APT 2309, HOLLY HILL, FL 32117
(330) 774-3371
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME 109018
MEDICAL LICENSE
FL
Enumeration date
08/28/2015
Last updated
05/19/2016
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