Individual
SAMIR JOSE ALLISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1000 W MORENO ST, PENSACOLA, FL 32501-2316
(850) 434-4694
Mailing address
5980 OSPREY PL, PENSACOLA, FL 32504-7938
(850) 477-6720
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS7247
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260044700
—
FL
Enumeration date
01/16/2007
Last updated
07/08/2007
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