Individual
FADY MAGDY SHOUKRY BOTROUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
UO10478
FL
Other
Enumeration date
03/25/2025
Last updated
06/24/2025
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