AMINE BOURI


Address: 10156 Love Story St, Winter Garden, FL 34787-1758
Phone: 3219463584

AMINE BOURI (NPI# 1811365208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811365208
Entity Type Individual
Full Name AMINE BOURI
Practice Address 10156 Love Story St
Winter Garden
FL 34787-1758
Mailing Address 11532 Westwood Blvd Apt 615
Orlando
FL 32821-7398
Practice Telephone 3219463584
Mailing Telephone 3219463584
Enumeration Date 2015-09-02
Last Update Date 2019-10-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 10156 LOVE STORY ST
City WINTER GARDEN
State FL
Zip Code 34787-1758

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1710501879 Hz Surgery Center LLC Clinic/Center 17085 Porter Road, Suite 110, Winter Garden, FL 34787 2020-06-04
1235759416 Callie Rebecca Alt Student in an Organized Health Care Education/Training Program 2200 Fowler Grove Blvd, Suite 220, Winter Garden, FL 34787 2020-04-17
1992345102 Advn Dental Partners Pa Dentist 516 S. Dillard Street, Winter Garden, FL 34787 2020-01-15
1942851225 Sara Walker Physical Therapist 213 S Dillard Street, Suite 320c, Winter Garden, FL 34787 2019-09-26
1801449996 Tiffani Green Behavior Technician 678 W Bay St Apt 52, Winter Garden, FL 34787 2019-07-18
1811461353 Ricardo Villalobos Pa Psychiatry & Neurology 16606 Broadwater Ave, Winter Garden, FL 34787 2019-01-17
1871078089 Alton Graydon Cumberbatch Sr. Pharmacist 646 S. Dillard Street, Winter Garden, FL 34787 2018-10-03
1629551395 Andrew Petersen Physical Therapy Assistant 5204 W. Colonial Drive, Winter Garden, FL 34787 2018-09-10
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1326685991 Nikolai X Lincavage Physician Assistant 29277 Us Highway 19 N # 29277, Clearwater, FL 33761-2102 2019-12-03
1356984686 Zane K Jude Physician Assistant 1775 Linton Lake Dr, Delray Beach, FL 33445-6927 2019-10-18
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Competitor

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City WINTER GARDEN
Zip Code 34787

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Dataset Information

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.

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