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1871563445

NPI Code Detail

MEDICARE: JOSEPH GEORGE KHOURY MD

MEDICARE: JOSEPH GEORGE KHOURY 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
1	2086S0120X	Pediatric Surgery Physician	ME130124	FL
2	207XP3100X	Pediatric Orthopaedic Surgery Physician	ME130124	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	102775	OTHER	AL	BLUE CROSS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	51598791	OTHER	AL	BLUE CROSS
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	051541030	OTHER	AL	BLUE CROSS
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	051541032	OTHER	AL	BLUE CROSS
10	051541034	OTHER	AL	BLUE CROSS
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	051591742	OTHER	AL	BLUE CROSS
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	051541027	OTHER	AL	BLUE CROSS
15	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
16	051547826	OTHER	AL	BLUE CROSS
17	051109076	OTHER	AL	BLUE CROSS
18	051541033	OTHER	AL	BLUE CROSS

General Provider Information

NPI Number	:	1871563445
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH GEORGE KHOURY MD

Provider Business Mailing Address
First Line	:	6535 NEMOURS PKWY
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32827-7884
Country	:	US
Telephone Number	:	407-650-7715
Fax Number	:	407-650-7265

Provider Business Practice Location Address
First Line	:	6535 NEMOURS PKWY
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32827-7884
Country	:	US
Telephone Number	:	407-650-7715
Fax Number	:	407-650-7265

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2006
Last Update Date	:	12/04/2024

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Practice Location Address:

6535 NEMOURS PKWY
ORLANDO, FL
32827-7884

Practice Phone: 407-567-4000
Practice Fax: 407-567-5924

1669446894 — DR. NICHOLAS D. POULOS MD
Practice Location Address:

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Practice Phone: 407-650-7000
Practice Fax: 407-567-5924

1043287311 — DR. MARTY CHRISTOPHER MCGRAW M.D.
Practice Location Address:

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ORLANDO, FL
32827-7884

Practice Phone: 407-650-7323
Practice Fax: 321-388-0162

1003885104 — ADALBERTO TORRES MD
Practice Location Address:

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ORLANDO, FL
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1407816481 — DR. RENE CHALOM M.D.
Practice Location Address:

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1508803073 — KAMAL KUMAR CHAVDA MD
Practice Location Address:

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Directions to “ JOSEPH GEORGE KHOURY MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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