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Individual

DR. SAMER KOUSSAYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
325 SOUTH PARSONS AVE, BRANDON, FL 33511
(813) 681-4644
(813) 654-4486
Mailing address
325 SOUTH PARSONS AVE, BRANDON, FL 33511
(813) 681-4644
(813) 654-4486

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME0074361
FL
2086S0129X
Vascular Surgery Physician
Primary
ME0074361
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01111
UNIVERSAL
05
104574203
TX
01
218058
AMERIGROUP
01
261352
AVMED
05
264790700
FL
01
3751735001
CIGNA HMO
01
47284
BLUECROSS/BLUESHIELD
01
7138025
AETNA
01
770002304
R.R.MEDICARE
01
9606443
GHI
Enumeration date
10/27/2006
Last updated
05/30/2023
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