Individual
SAMER SALAMEKH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 SHIRCLIFF WAY, JACKSONVILLE, FL 32204-4753
(904) 388-2619
(904) 388-0240
Mailing address
7751 BELFORT PKWY STE 350, JACKSONVILLE, FL 32256-6951
(904) 363-7453
(904) 538-3672
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME155286
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114699400
—
FL
01
—
PJ136
MEDICARE
FL
01
—
Q00364363
RR MEDICARE
FL
01
—
UNKZB
FL BLUE
FL
Enumeration date
03/18/2017
Last updated
12/11/2024
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