Samy, Hazem Mahmoud

Samy, Hazem Mahmoud is an individual health care provider with primary practice located at 13241 Bartram Park Blvd Unit 1505 , Jacksonville FL 32258-5231. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Glaucoma Specialist, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Samy, Hazem Mahmoud can be contacted via phone (904) 374-6899.

Contact Information

Primary practice address
13241 Bartram Park Blvd Unit 1505 Jacksonville FL 32258-5231
Phone: (904) 374-6899
Fax: (904) 503-0039
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME105047 Florida
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X ME105047 Florida
Other Service Providers / Specialist 174400000X MD426523 Pennsylvania

Profile Details

NPI number 1376518399
LBN Legal business name Samy, Hazem Mahmoud
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Apr 19th, 2019 - about 5 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 1376518399 NPPES
Pennsylvania MEDICAID 101294355

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