Individual
SAMEH NAZEEH ADLY MOHAREB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, M.B.,BCH.
Contact information
Practice address
1825 SALK AVE, TAVARES, FL 32778-4311
(352) 343-1158
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME144808
FL
208M00000X
Hospitalist Physician
MD.207080
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05000046
—
MS
05
—
2370022
—
LA
Enumeration date
06/23/2011
Last updated
06/12/2020
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