NPI 1003351867

Fawaz M Ashouri

Organisation Specialist Jacksonville, FL

Practice location

Address: 2301 University Blvd W, Jacksonville, FL 32217-2022
Phone: (904) 396-3700

Authorised official

Name: Marie Forte
Title: Office Manager
Phone: (904) 396-3700

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence ME38972 (FL)

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Registry record

NPI: 1003351867
Entity type: Organization
NPI issued: 3 Jan 2017
Record last updated: 3 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.