Provider Demographics
NPI:1366450959
Name:KOURI, JOSHUA G (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:G
Last Name:KOURI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:JOSHUS
Other - Middle Name:G
Other - Last Name:KOURI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5503 S CONGRESS AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:ATLANTIS
Mailing Address - State:FL
Mailing Address - Zip Code:33462-6626
Mailing Address - Country:US
Mailing Address - Phone:561-410-5110
Mailing Address - Fax:561-328-3911
Practice Address - Street 1:5503 S CONGRESS AVE STE 204
Practice Address - Street 2:
Practice Address - City:ATLANTIS
Practice Address - State:FL
Practice Address - Zip Code:33462
Practice Address - Country:US
Practice Address - Phone:561-410-5110
Practice Address - Fax:561-328-3911
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2018-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA96825207T00000X
FLME87558207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery