Individual
SAMANTHA NIZAM HABHAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11512 LAKE MEAD AVE UNIT 534, JACKSONVILLE, FL 32256-5835
(904) 642-2222
Mailing address
11512 LAKE MEAD AVE UNIT 534, JACKSONVILLE, FL 32256-5835
(904) 642-2222
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
4301112050
MI
207W00000X
Ophthalmology Physician
4351031718
MI
207W00000X
Ophthalmology Physician
MD473679
PA
207WX0120X
Cornea and External Diseases Specialist Physician
Primary
ME155829
FL
Other
Enumeration date
06/10/2017
Last updated
11/04/2022
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