Individual
JORGE MIGUEL KOURIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2501 N ORANGE AVE, SUITE 537N, ORLANDO, FL 32804-4603
(407) 894-4693
(407) 896-0569
Mailing address
2180 W SR 434 STE 1164, LONGWOOD, FL 32779-5008
(407) 894-4693
(407) 261-3869
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME104748
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001406400
—
FL
05
—
0169951
—
NJ
Enumeration date
05/09/2007
Last updated
10/31/2024
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