Samara, David J

Samara, David J is an sole proprietor health care provider with primary practice located at 6555 Chester Ave Ste 1 , Jacksonville FL 32217-2279. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Samara, David J can be contacted via phone (904) 309-6504.

Contact Information

Primary practice address
6555 Chester Ave Ste 1 Jacksonville FL 32217-2279
Phone: (904) 309-6504
Fax: (904) 503-3577
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X ME31637 Florida
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME31637 Florida

Profile Details

NPI number 1679513477
LBN Legal business name Samara, David J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2006
Last updated Mar 8th, 2016 - about 8 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 1679513477 NPPES
Florida Other 15431 BLUE SHIELD
Florida Other 340017155 BLUE SHIELD
Florida MEDICAID 059539000 BLUE SHIELD
Florida Other ME31637 BLUE SHIELD

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