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Individual

SAMIR K YASSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
245 S CURTENAY PARKWAY, BLDG B, MERRITT ISLAND, FL 32952
(321) 453-5326
(321) 452-8507
Mailing address
245 S COURTENAY PARKWAY, BLDG B, MERRITT ISLAND, FL 32952
(321) 453-5326
(321) 452-8507

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME90329
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
270784500
FL
01
7709220
AETNA
01
P00145735
RR MEDICARE
Enumeration date
09/22/2006
Last updated
11/01/2011
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