Moursi, Housam

Moursi, Housam is an individual health care provider with primary practice located at 200 Avenue F Ne , Winter Haven FL 33881-4131. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Moursi, Housam can be contacted via phone (863) 293-1121.

Contact Information

Primary practice address
200 Avenue F Ne Winter Haven FL 33881-4131
Phone: (863) 293-1121
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OS0007173 Florida

Profile Details

NPI number 1255308599
LBN Legal business name Moursi, Housam
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Feb 14th, 2012 - about 12 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 1255308599 NPPES
Florida MEDICAID 379672800
Florida Other P00346990
Florida Other 57301

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