SOURIAL MORRIS SOURIAL MD NPI 1356743876

NPI Information

  • NPI: 1356743876
  • Provider Name: SOURIAL MORRIS SOURIAL MD
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Doing Business As: SOURIAL FP AND PAIN CARE, P.A.
  • Address: 16670 S US HIGHWAY 441
    SUITE 103
    SUMMERFIELD, FL
    ZIP 34491
  • Phone: (352) 347-1608

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NPI Details

SOURIAL MORRIS SOURIAL MD is a medical specialty clinic center in Summerfield, FL. The provider is 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). SOURIAL MORRIS SOURIAL MD NPI is 1356743876. The provider is registered as an organization entity type.
The provider Is Doing Business As Sourial Fp And Pain Care, P.a..

The provider's business location address is:

16670 S US HIGHWAY 441
SUITE 103
SUMMERFIELD, FL
ZIP 34491-683
Phone: (352) 347-1608
Fax: (888) 241-3383

The provider's authorized official is Sourial Morris Sourial .
The authorized official title is President and has the following contact phone number (352) 347-1608.

The enumeration date for this NPI number is 9/17/2014 and was last updated on 2/9/2015.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical SpecialtyOS11425FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1151441OTHERFLORIDAHUMANA
2000229116MEDICAIDFLORIDA
3FK397YMEDICARE OSCAR/CERTIFICATIONFLORIDA
414H1POTHERFLORIDABLUE CROSS AND BLUE SHIELD FLORIDA

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: 11/21/2025

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