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Individual

KHALED SROUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2501 N ORANGE AVE STE 401, ORLANDO, FL 32804-4644
(407) 303-7283
(407) 303-0475
Mailing address
2501 N ORANGE AVE STE 401, ORLANDO, FL 32804-4644
(407) 303-7283
(407) 303-0475

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME158176
FL
207RN0300X
Nephrology Physician
ME158176
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
115359100
FL
01
U1445
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/28/2016
Last updated
06/16/2023
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