Sorathia, Sufian Jabbar
Sorathia, Sufian Jabbar is an sole proprietor health care provider with primary practice located at 3635 Clyde Morris Blvd Ste 100 , Port Orange FL 32129-2349. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Sorathia, Sufian Jabbar can be contacted via phone (386) 788-1242.Contact Information
Primary practice address
3635 Clyde Morris Blvd Ste 100
Port Orange FL 32129-2349
Phone: (386) 788-1242
Fax: (386) 756-8802
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ME130655 | Florida |
Profile Details
| NPI number | 1881018703 |
|---|---|
| LBN Legal business name | Sorathia, Sufian Jabbar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 12th, 2014 |
| Last updated | Jan 5th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881018703 | NPPES |
| Florida | MEDICAID | 108374600 |
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