Healthcare Provider Details

I. General information

NPI: 1871756387
Provider Name (Legal Business Name): AMR EL TOUKHY MD PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2008
Last Update Date: 01/22/2024
Certification Date: 07/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7350 FUTURES DR STE 17
ORLANDO FL
32819
US

IV. Provider business mailing address

7350 FUTURES DR STE 17
ORLANDO FL
32819
US

V. Phone/Fax

Practice location:
  • Phone: 321-214-0028
  • Fax:
Mailing address:
  • Phone: 321-214-0028
  • Fax: 407-429-3833

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME128918
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberME128918
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: