MEDICARE: SAMI I DAGHER MD PA

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	208VP0014X	Interventional Pain Medicine Physician	ME 60257	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144456302
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAMI I DAGHER MD PA

Provider Business Mailing Address
First Line	:	2401 S SEACREST BLVD
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33435-6514
Country	:	US
Telephone Number	:	561-733-8133
Fax Number	:	561-733-6670

Provider Business Practice Location Address
First Line	:	2401 S SEACREST BLVD
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33435-6514
Country	:	US
Telephone Number	:	561-733-8133
Fax Number	:	561-733-6670

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. SAMI I DAGHER
Credential	:	M.D.
Telephone Number	:	561-733-8133

Provider Enumeration Date	:	06/02/2009
Last Update Date	:	06/21/2010

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