Individual
DR. IVAN ALFONSO SAMCAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6770 IMMOKALEE ROAD, SUITE 111, NAPLES, FL 34119
(239) 594-8002
(877) 334-1886
Mailing address
6101 PINE RIDGE RD STE 101, NAPLES, FL 34119-3900
(239) 449-3072
(877) 334-1886
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
ME131378
FL
208VP0014X
Interventional Pain Medicine Physician
Primary
ME131378
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JA096Z
MEDICARE PTAN
FL
Enumeration date
07/03/2014
Last updated
12/05/2025
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