Individual
AMINE BOURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10156 LOVE STORY ST, WINTER GARDEN, FL 34787-1758
(321) 946-3584
Mailing address
11532 WESTWOOD BLVD APT 615, ORLANDO, FL 32821-7398
(321) 946-3584
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
09/02/2015
Last updated
10/08/2019
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