Healthcare Provider Details

I. General information

NPI: 1437738945
Provider Name (Legal Business Name): SAMI ABOU-ASSI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: SAMI ASSI MD

II. Dates (important events)

Enumeration Date: 04/03/2021
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14100 FIVAY RD STE 300
HUDSON FL
34667-7160
US

IV. Provider business mailing address

14100 FIVAY RD STE 300
HUDSON FL
34667-7160
US

V. Phone/Fax

Practice location:
  • Phone: 727-819-2929
  • Fax:
Mailing address:
  • Phone: 727-819-2929
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberME184720
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: