Individual
DR. FAWAZ M ASHOURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2301 UNIVERSITY BLVD W, JACKSONVILLE, FL 32217
(904) 396-3700
(904) 398-3871
Mailing address
2301 UNIVERSITY BLVD W, JACKSONVILLE, FL 32217-2022
(904) 396-3700
(904) 398-3871
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME38972
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069570000
—
FL
Enumeration date
03/24/2006
Last updated
05/21/2019
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