MEDICARE: SAMCARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246ZC0007X	Surgical Assistant

General Provider Information

NPI Number	:	1043935349
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAMCARE, LLC

Provider Business Mailing Address
First Line	:	PO BOX 16601
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33416-6601
Country	:	US
Telephone Number	:	561-410-8361
Fax Number	:

Provider Business Practice Location Address
First Line	:	1565 QUAIL LAKE DR APT F104
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-4602
Country	:	US
Telephone Number	:	561-410-8361
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. BATRONY BAZILME
Credential	:	FIRST SURGEON ASSIST
Telephone Number	:	561-410-8361

Provider Enumeration Date	:	10/10/2022
Last Update Date	:	10/10/2022

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