Kazmi, Samina

Kazmi, Samina is an sole proprietor health care provider with primary practice located at 10050 Sw Innovation Way , Port Saint Lucie FL 34987-2117. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Vascular Neurology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Kazmi, Samina can be contacted via phone (304) 344-0166.

Contact Information

Primary practice address
10050 Sw Innovation Way Port Saint Lucie FL 34987-2117
Fax: (304) 344-5105
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X MD61043297 Washington
Allopathic & Osteopathic Physicians / Vascular Neurology 2084V0102X MD61043297 Washington
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD61043297 Washington
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 20887 West Virginia

Profile Details

NPI number 1356449714
LBN Legal business name Kazmi, Samina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Jun 24th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356449714 NPPES
West Virginia MEDICAID 2004431000

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