Individual
DR. JOE E GERGES EL KHOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1375 ROBERTS DR, SUITE 204, JACKSONVILLE BEACH, FL 32250-3210
(904) 247-0056
(904) 241-0065
Mailing address
4800 BELFORT RD, JACKSONVILLE, FL 32256-6004
(904) 398-3262
(904) 265-6407
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
23110
WV
207RG0100X
Gastroenterology Physician
Primary
ME111347
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810012254
—
WV
05
—
PENDING
—
FL
Enumeration date
06/14/2007
Last updated
02/27/2012
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