Individual
DAVID J SAMARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
ME31637
FL
208D00000X
General Practice Physician
ME31637
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
059539000
—
FL
01
—
15431
BLUE SHIELD
FL
01
—
340017155
RAILROAD MEDICARE
—
01
—
ME31637
MEDICAL LIC
FL
Enumeration date
06/08/2006
Last updated
03/08/2016
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