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Individual

WASSIM SAMRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1301 PALM AVE, JACKSONVILLE, FL 32207-8432
(904) 202-7300
(904) 202-2754
Mailing address
PO BOX 746654, ATLANTA, GA 30374-6654
(904) 202-2092
(904) 376-4075

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME125338
FL
207RH0003X
Hematology & Oncology Physician
Primary
ME125338
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN17123
FL

Other

Enumeration date
06/24/2012
Last updated
05/06/2025
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