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Organization
MEDSURGE.LLC
Active
Organization
MEDSURGE.LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMINE BOURI CSFA (SURGICAL ASSIST)
(321) 946-3584
Entity
Organization
Contact information
Practice address
11532 WESTWOOD BLVD APT 615, ORLANDO, FL 32821-7398
(321) 946-3584
Mailing address
11532 WESTWOOD BLVD APT 615, ORLANDO, FL 32821-7398
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
159591
FL
Other
Enumeration date
07/13/2015
Last updated
02/15/2017
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