Individual
DR. REDA FAWZI SORIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 E SAMPLE RD, SUITE 106, POMPANO BEACH, FL 33064-4443
(954) 785-0525
(954) 943-1455
Mailing address
2234 COLONIAL BLVD, ATTN: MANAGED CARE DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME40821
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047343000
—
FL
01
—
0748993
CIGNA
FL
01
—
1193473
WELLCARE
FL
01
—
4008211
AETNA
FL
01
—
94305
BC/BS
FL
01
—
P0003171
FLORIDA HEALTHCARE PLUS
FL
01
—
P00900590
RAILROAD MCR
FL
01
—
QMP000003722540
MOLINA HEALTH
FL
Enumeration date
07/05/2006
Last updated
05/06/2016
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