Provider Type Icon

DR. SOURIAL MORRIS SOURIAL D.O. NPI 1205148376


NPI Information

NPI: 1205148376
Provider Name: DR. SOURIAL MORRIS SOURIAL, D.O.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
6484 FORT CAROLINE RD
JACKSONVILLE, FL
ZIP 32277
Phone: (904) 744-7300
Get Directions

DR. Sourial Morris Sourial, D.O. is a family medicine in Jacksonville, FL with 16 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Sourial Morris Sourial, D.O. NPI is 1205148376. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduation Year:2008

The provider's business location address is:

6484 FORT CAROLINE RD
JACKSONVILLE, FL
ZIP 32277-042
Phone: (904) 744-7300
Fax: (904) 722-4271

The NPI 1205148376 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Testing for presence of drug (HCPCS:80305)

The enumeration date for this NPI number is 7/6/2010 and was last updated on 3/21/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208VP0000XPain MedicinePain MedicineOS11425FLORIDANo
2208VP0014XPain MedicineInterventional Pain MedicineOS11425FLORIDANo
3207Q00000XFamily MedicineOS11425FLORIDAYes
4207Q00000XFamily Medicine257585NEW YORKNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.