Bourass, Soufyane
Bourass, Soufyane is an sole proprietor health care provider with primary practice located at 1400 Old Dixie Hwy , Saint Augustine FL 32084-4190. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Bourass, Soufyane can be contacted via phone (904) 824-0724.Contact Information
Primary practice address
1400 Old Dixie Hwy
Saint Augustine FL 32084-4190
Phone: (904) 824-0724
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | APRN11017959 | Florida |
Profile Details
NPI number | 1306590633 |
---|---|
LBN Legal business name | Bourass, Soufyane |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 6th, 2022 |
Last updated | Aug 3rd, 2022 - about 3 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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