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FAWAZ M ASHOURI
NPI 1003351867
Specialist in Jacksonville, FL

Active since January 03, 2017CLIA 10D0942569 · Waiver
2301 UNIVERSITY BLVD W, JACKSONVILLE, FL 32217(904) 396-3700 Get Directions Write a Review

NPPES record last updated: January 3, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fawaz M Ashouri NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAWAZ M ASHOURI (NPI 1003351867) is a healthcare organization registered as a specialist in Jacksonville, Florida and active in the NPI registry since January 2017. The organization holds a CLIA Waiver certificate valid through March 12, 2028 and lists Marie Forte, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1003351867
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameFAWAZ M ASHOURI
Location Address2301 UNIVERSITY BLVD WJacksonville, FL 32217-2022
Mailing Address2301 University Blvd WJacksonville, FL 32217-2022 · (904) 396-3700
Phone(904) 396-3700
Organization SubpartNo
Authorized OfficialMarie ForteOffice Manager · (904) 396-3700
Enumeration DateJanuary 3, 2017
✔ NPI 1003351867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME38972
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2301 UNIVERSITY BLVD W, Jacksonville, FL 32217
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN15732YFL
Medicare PIN15732WFL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0942569

Dr Fawaz M Ashouri MD · Jacksonville, FL
Active · expires Mar 12, 2028
CLIA Number10D0942569
Laboratory TypePhysician Office
Certificate Effective DateMarch 13, 2026
Certificate Expiration DateMarch 12, 2028
Laboratory DirectorFawaz M. Ashouri
Laboratory Phone(904) 396-3700
Laboratory LocationDr Fawaz M Ashouri MD2301 University Blvd W, Jacksonville, FL 32217
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. FAWAZ M ASHOURI M.D.
Urology
2301 UNIVERSITY BLVD W
JACKSONVILLE, FL 32217
Duval County (904) 396-3700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fawaz M Ashouri's NPI number?

The NPI number for Fawaz M Ashouri is 1003351867. It was assigned to this organization in the NPPES registry on January 3, 2017.

Where is Fawaz M Ashouri located?

Fawaz M Ashouri is located at 2301 University Blvd W, Jacksonville, FL 32217. The listed phone number is (904) 396-3700.

What is Fawaz M Ashouri's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Fawaz M Ashouri hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0942569) is associated with this NPI, valid through March 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fawaz M Ashouri was last updated on January 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.