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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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