Healthcare Provider Details

I. General information

NPI: 1235107343
Provider Name (Legal Business Name): PAMELA HOURI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 08/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 45TH ST
WEST PALM BEACH FL
33407-2413
US

IV. Provider business mailing address

3712 SW BIMINI CIR N
PALM CITY FL
34990-1300
US

V. Phone/Fax

Practice location:
  • Phone: 561-882-9944
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberME0076275
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: