Bourghli, Mahmoud
Bourghli, Mahmoud is an sole proprietor health care provider with primary practice located at 12106 Cortez Blvd , Brooksville FL 34613-5514. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Bourghli, Mahmoud can be contacted via phone (352) 597-0022.Contact Information
Primary practice address
12106 Cortez Blvd
Brooksville FL 34613-5514
Phone: (352) 597-0022
Fax: (352) 597-0086
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ME0079929 | Florida |
Profile Details
| NPI number | 1326015157 |
|---|---|
| LBN Legal business name | Bourghli, Mahmoud |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Dec 21st, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326015157 | NPPES |
| Florida | Other | G59860 | MEDICARE |
| Florida | MEDICAID | 112602600 | MEDICARE |
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