Individual
MR. SALIM A GHORAYEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
89 W COPELAND DR, ORLANDO, FL 32806
(321) 841-7550
(321) 841-8185
Mailing address
89 W COPELAND DR, ORLANDO, FL 32806-2002
(321) 841-7550
(321) 841-8185
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9106752
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007279100
—
FL
Enumeration date
09/20/2012
Last updated
11/13/2019
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