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Individual

DR. REDA FAWZI SORIAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

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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