Individual
KARIM JACOB SAMARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3316 3RD ST S, SUITE 103, JACKSONVILLE, FL 32250-6073
(904) 241-7865
Mailing address
3316 3RD ST S, SUITE 103, JACKSONVILLE, FL 32250-6073
(904) 241-7865
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
ME91598
FL
207R00000X
Internal Medicine Physician
ME91598
FL
207W00000X
Ophthalmology Physician
Primary
ME91598
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278103400
—
FL
Enumeration date
05/02/2006
Last updated
03/17/2014
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