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Organization
UNIVERSITY PARKWAY MEDICAL CLINIC, INC
Active
Organization
UNIVERSITY PARKWAY MEDICAL CLINIC, INC
Active
Other names
Khoury Medical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUHAIL A KHOURY PH.D., M.D. (PRESIDENT)
(941) 922-2340
Entity
Organization
Contact information
Practice address
3231 GULF GATE DR, SUITE #101, SARASOTA, FL 34231-2406
(941) 922-2340
(941) 922-2081
Mailing address
3231 GULF GATE DR, SUITE #101, SARASOTA, FL 34231-2406
(941) 922-2340
(941) 922-2081
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0055732
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09766
BLUE CROSS
—
01
—
110098404
RAILROAD MEDICARE
—
Enumeration date
09/10/2007
Last updated
02/22/2016
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