Individual
MR. FOUAD SAM MOURSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1514 1ST ST N, WINTER HAVEN, FL 33881-2476
(866) 234-8534
Mailing address
47 5TH ST NW, WINTER HAVEN, FL 33881-4672
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
22415
PR
207Q00000X
Family Medicine Physician
22415
PR
208D00000X
General Practice Physician
Primary
ACN1397
FL
Other
Enumeration date
07/12/2017
Last updated
03/17/2022
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