Individual
KURT W MORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3599 UNIVERSITY BLVD S, BUILDING 300, JACKSONVILLE, FL 32216-4252
(904) 399-5550
(904) 346-4334
Mailing address
3599 UNIVERSITY BLVD S, BUILDING 300, JACKSONVILLE, FL 32216-4252
(904) 399-5550
(904) 346-4334
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME36779
FL
2085R0204X
Vascular & Interventional Radiology Physician
ME36779
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00356243A
—
GA
05
—
047706100
—
FL
01
—
15714
BCBS
FL
Enumeration date
03/23/2006
Last updated
08/22/2017
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