Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fady Magdy Shoukry Botrous, DO

Individual provider Internal Medicine Physician · NPI 1104628858

Fady Magdy Shoukry Botrous, DO is an Internal Medicine Physician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2025.

Licensed in
FL
In the registry since
2025
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence UO10478 (FL)

Record details

NPI number1104628858
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 25, 2025
Last updated in NPPESJune 24, 2025
Certification dateJune 24, 2025
Mailing addressPo Box 860912, Minneapolis, MN 55486-0912

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