Organization
KHOURI LABORATORIES, INC
Active
Organization
KHOURI LABORATORIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANA LEAL-KHOURI MD (DIRECTOR)
(305) 361-5635
Entity
Organization
Contact information
Practice address
180 CRANDON BLVD, STE #114, KEY BISCAYNE, FL 33149
(305) 361-3086
(305) 361-0633
Mailing address
180 CRANDON BLVD, STE #114, KEY BISCAYNE, FL 33149
(305) 361-3086
(305) 361-0633
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
800013149
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L9096
BCBS
FL
Enumeration date
04/19/2006
Last updated
09/08/2010
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