Individual
DR. BASSEM MOURAD BOUTROS SAMAAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9126 GREAT HERON CIR, ORLANDO, FL 32836-5487
(201) 914-2493
Mailing address
9126 GREAT HERON CIR, ORLANDO, FL 32836-5487
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
260585
NY
2085R0202X
Diagnostic Radiology Physician
Primary
ME114899
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2008
Last updated
03/03/2026
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