Individual
SAMER K ELBABAA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(321) 841-3050
(321) 843-3570
Mailing address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(321) 841-3050
(321) 843-3570
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME130935
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020016400
—
FL
05
—
170946001
—
AR
01
—
IW624Z
MEDICARE
FL
Enumeration date
04/26/2007
Last updated
07/21/2022
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