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NPI Code Detail

MEDICARE: DR. SAFA MOURSY MD

MEDICARE: DR. SAFA MOURSY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0200XCritical Care Medicine (Internal Medicine) PhysicianME167435FL
2207R00000XInternal Medicine Physician30597WV

General Provider Information

NPI Number : 1689161028
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAFA MOURSY MD
Provider Business Mailing Address
First Line : 601 E ROLLINS ST
Second Line :
City : ORLANDO
State : FL
Zip : 32803
Country : US
Telephone Number : 407-303-7283
Fax Number : 407-303-0347
Provider Business Practice Location Address
First Line : 601 E ROLLINS ST
Second Line :
City : ORLANDO
State : FL
Zip : 32803-1248
Country : US
Telephone Number : 407-303-7283
Fax Number : 407-303-0347
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2018
Last Update Date : 05/19/2026

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