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Individual

DR. FAHMY S GURGIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
807 CHILDRENS WAY, JACKSONVILLE, FL 32207-8426
(904) 202-8275
(904) 396-1630
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME87763
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
267402500
FL
Enumeration date
09/27/2006
Last updated
09/20/2011
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