Souheil Moussly, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME00050810 Issued in FL

Practice address

3890 Turtle Creek Dr
Port Orange, FL 32129

Phone

(386) 756-4400

Fax

(386) 756-3031

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DDHHCD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ebenezer Medical Center Orlando Corp.

  • General Practice Physician
  • Kissimmee, FL
  • NPI 1265178131
  Medicare reassignment NPD
• Health First Primary Care, L.L.C

  • General Practice Physician
  • Tampa, FL
  • NPI 1609218098
  Medicare reassignment NPD
• Port Orange Internists PA

  • Family Medicine Physician
  • Port Orange, FL
  • NPI 1689861205
  Authorized official Same address or phone
• Health First Primary Care L.L.C

  • General Practice Physician
  • Port Orange, FL
  • NPI 1326617614
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063524577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3890 TURTLE CREEK DR",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "32129",
            "telephone_number": "386-756-4400",
            "fax_number": "386-756-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 TURTLE CREEK DR",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "32129",
            "telephone_number": "386-756-4400",
            "fax_number": "386-756-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSSLY",
        "first_name": "SOUHEIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME00050810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie L Morris Newcomb, DPT
• Troy E Morris
• Matthew John Morrison, PA-C
• Daniel N Morrissey, RN
• Edith Mosesso
• Movement Professionals Physical Therapy LLC
• Terry Lee Moyer, CRNA
• Julie Tebbe Moynihan, M.S., BCBA
• Laura Muller, P.T.
• Holly Mulvey

• Internal Medicine Physician in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.