SOURIAL MORRIS SOURIAL MD (NPI# 1356743876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356743876 |
| Entity Type | Organization |
| Organization Name | SOURIAL MORRIS SOURIAL MD |
| Other Organization Name | SOURIAL FP AND PAIN CARE, P.A. |
| Practice Address |
16670 S Us Highway 441 Suite 103 Summerfield FL 34491-8683 |
| Practice Telephone | 3523471608 |
| Practice Fax Number | 8882413383 |
| Mailing Telephone | 3523471608 |
| Mailing Fax Number | 8882413383 |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2015-02-09 |
| Authorized Official Name | DR. SOURIAL MORRIS SOURIAL (PRESIDENT) |
| Authorized Official Telephone | 3523471608 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
OS11425 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS AND BLUE SHIELD FLORIDA | 14H1P | 01 |
| FL | HUMANA | 151441 | 01 |
| FL | 000229116 | 05 |
| Other Name | Type Code |
|---|---|
| Sourial FP and Pain Care, P.A. | Doing Business As Name - Organization |
| Street Address |
16670 S US HIGHWAY 441 SUITE 103 |
| City | SUMMERFIELD |
| State | FL |
| Zip Code | 34491-8683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376861559 | Florida Integrated Health Services, LLC | Pharmacy | 16670 S Us Highway 441, Ste 105, Summerfield, FL 34491-8683 | 2010-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194282947 | Marlen D Ohair | Religious Nonmedical Nursing Personnel | 3424 Se 14th Pl, Summerfield, FL 34491 | 2019-02-28 |
| 1992262851 | Arms of Jesus | Adult Companion | 3424 Se 146th Pl, Summerfield, FL 34491 | 2019-02-27 |
| 1396230504 | Ashley Ellis Davis | Nurse Practitioner | 17823 Se 109th Ave, Suite 108, Summerfield, FL 34491 | 2018-06-29 |
| 1215429220 | Redeemed Hearts Inc | In Home Supportive Care | 14380 Se 61 Ave, Summerfield, FL 34491 | 2018-06-05 |
| 1336649649 | Michelle Wojciechowski | Nurse Practitioner | 15061 Se 103rd Ave, Summerfield, FL 34491 | 2018-02-14 |
| 1710406228 | Sasha Saidi | Pain Medicine | 16810 South Highway 441, Suite 502, Summerfield, FL 34491 | 2017-09-15 |
| 1598282915 | Acupuncture Wellness LLC | Acupuncturist | 15151 S. Hwy 441, Suite 100, Summerfield, FL 34491 | 2017-08-25 |
| 1699137489 | Lindsey Mckay | Registered Nurse | 14510 Se 91 St Terrace, Summerfield, FL 34491 | 2016-03-22 |
| 1295114791 | Michael Anthony Shamat | Chiropractor | 15151 Hwy 441, Summerfield, FL 34491 | 2015-05-29 |
| 1952711038 | John Wiley | Occupational Therapist | 15600 S. U.S. Hwy 441, B, Summerfield, FL 34491 | 2014-04-29 |
| Find all providers in zip 34491 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336493634 | Florida Cardiocare, Pllc | Clinic/Center | 10435 Se 170th Pl, Summerfield, FL 34491-8998 | 2012-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841809076 | Michelle P Gillespie Do Pa | Clinic/Center | 2330 W Horatio St Ste 200, Tampa, FL 33609-3590 | 2020-07-23 |
| 1508480864 | Amelia Respiratory and Sleep Medicine LLC | Clinic/Center | 1560 Park Ln, Fernandina Beach, FL 32034-1940 | 2020-06-02 |
| 1538781364 | Blue Lotus Endocrine Company Inc | Clinic/Center | 1101 E. Cumberland Ave, Ste 201h #128, Tampa, FL 33602-4231 | 2020-05-14 |
| 1881221075 | Simmons Pediatrics | Clinic/Center | 1771 Edgewood Ave W Ste 1, Jacksonville, FL 32208-7208 | 2020-03-26 |
| 1891327326 | Curative Care Center | Clinic/Center | 1978 Rockledge Blvd Ste 103, Rockledge, FL 32955-3722 | 2020-02-12 |
| 1427689975 | Integrity Spine & Orthopedics of Melbourne LLC | Clinic/Center | 1640 Highway A1a Ste C, Satellite Beach, FL 32937-5451 | 2020-02-03 |
| 1881234102 | Better Health and Rehab | Clinic/Center | 4136 Berkshire Loop, Lakeland, FL 33813-4465 | 2020-01-14 |
| 1578105573 | Venous Solutions of Florida Inc | Clinic/Center | 506 E Tipton Rd, Plant City, FL 33567-9373 | 2019-10-10 |
| 1841847597 | Premier Medical Concierge, LLC | Clinic/Center | 9655 Tamiami Trl N Ste 202, Naples, FL 34108-2796 | 2019-08-19 |
| 1487214342 | Patrick Robinson Md LLC | Clinic/Center | 12630 Curley St Ste 104, San Antonio, FL 33576-8095 | 2019-06-13 |
| Find all providers with the same taxonomy | ||||
| City | SUMMERFIELD |
| Zip Code | 34491 |
Please comment or provide details below to improve the information on SOURIAL MORRIS SOURIAL MD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.