Healthcare Provider Details

I. General information

NPI: 1972426765
Provider Name (Legal Business Name): NORA BASSAM KHOURY MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 ARTHUR GODFREY RD STE 200-01
MIAMI BEACH FL
33140-3516
US

IV. Provider business mailing address

400 ARTHUR GODFREY RD STE 200-01
MIAMI BEACH FL
33140-3516
US

V. Phone/Fax

Practice location:
  • Phone: 305-680-0566
  • Fax:
Mailing address:
  • Phone: 305-680-0566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: NORA BASSAM KHOURY
Title or Position: OWNER/MEDICAL DIRECTOR
Credential: MD
Phone: 786-505-1034