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Individual

DR. SOURIAL MORRIS SOURIAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
9770 OLD BAYMEADOWS RD STE 141, JACKSONVILLE, FL 32256-7986
(904) 944-2124
(888) 241-3383
Mailing address
10689 TOWN VIEW DR, JACKSONVILLE, FL 32256-4026
(917) 940-7644

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
OS11425
FL
208VP0000X
Pain Medicine Physician
Primary
OS11425
FL
208VP0014X
Interventional Pain Medicine Physician
OS11425
FL

Other

Enumeration date
07/06/2010
Last updated
12/12/2024
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