Ashouri, Fawaz M

Ashouri, Fawaz M is an sole proprietor health care provider with primary practice located at 2301 University Blvd W , Jacksonville FL 32217. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Ashouri, Fawaz M can be contacted via phone (904) 396-3700.

Contact Information

Primary practice address
2301 University Blvd W Jacksonville FL 32217
Phone: (904) 396-3700
Fax: (904) 398-3871
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X ME38972 Florida

Profile Details

NPI number 1912967860
LBN Legal business name Ashouri, Fawaz M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2006
Last updated May 21st, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912967860 NPPES
Florida MEDICAID 069570000

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