Samcam, Ivan Alfonso

Samcam, Ivan Alfonso is an individual health care provider with primary practice located at 877 111Th Ave N Ste 1 , Naples FL 34108-1853. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Samcam, Ivan Alfonso can be contacted via phone (239) 594-8002.

Contact Information

Primary practice address
877 111Th Ave N Ste 1 Naples FL 34108-1853
Phone: (239) 594-8002
Fax: (877) 334-1886
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME131378 Florida
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X ME131378 Florida

Profile Details

NPI number 1194131730
LBN Legal business name Samcam, Ivan Alfonso
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2014
Last updated Oct 13th, 2022 - about 2 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 1194131730 NPPES
Florida Other JA096Z MEDICARE PTAN

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