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Contact Information

MOHAMAD R SAMIIAN, MD PA
4221 SOUTHPOINT PKWY
JACKSONVILLE, FL32216
 Phone: 904-296-2810
 Fax: 904-296-3424
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MOHAMAD R SAMIIAN · (Male)

NPI # 1336138734
Status Active
Credentials MD PA
Entity Individual
Enumeration date 10/18/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # ME20018
  • FL Other 15880 PROVIDER #
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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