Individual
SAMER KHAZNADAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 N ROSE AVE, KISSIMMEE, FL 34741-4944
(407) 483-7925
(407) 483-7924
Mailing address
22 N. JOHN YOUNG PARKWAY, KISSIMMEE, FL 34741
(407) 483-7925
(407) 483-7924
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME84180
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263337000
—
FL
Enumeration date
03/27/2006
Last updated
02/28/2024
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