Individual
SAMIR DOUIDAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10359 CROSS CREEK BLVD STE CD, TAMPA, FL 33647-2772
(813) 994-0044
(813) 994-0055
Mailing address
10359 CROSS CREEK BLVD STE CD, TAMPA, FL 33647-2772
(813) 994-0044
(813) 994-0055
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME65878
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
375833800
—
FL
01
—
B905P
BCBSFL
FL
Enumeration date
05/19/2006
Last updated
08/04/2021
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