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Organization
PORT ORANGE INTERNISTS PA
Active
Organization
PORT ORANGE INTERNISTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOUHEIL MOUSSLY MD (OWNER)
(386) 756-4400
Entity
Organization
Contact information
Practice address
3890 TURTLE CREEK DR, PORT ORANGE, FL 32127-9358
(386) 756-4400
Mailing address
3890 TURTLE CREEK DR, PORT ORANGE, FL 32127-9358
(386) 756-4400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME00050810
FL
Other
Enumeration date
09/27/2007
Last updated
09/27/2007
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