Individual
DR. SAMI K BADDOURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3525 LAKELAND HILLS BLVD, LAKELAND, FL 33805-1965
(863) 284-5020
(863) 284-5912
Mailing address
1324 LAKELAND HILLS BLVD, ATTN: MEDICAL STAFF OFFICE, LAKELAND, FL 33805-4543
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME0074228
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME74228
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014929200
—
FL
Enumeration date
06/10/2005
Last updated
11/21/2022
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