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General NPI Number Information
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NPI Number | 1194266544
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Entity Type | Individual
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Provider Name | SAMER SALAMEKH M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/18/2017
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 2 SHIRCLIFF WAY
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City | JACKSONVILLE
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State | FL
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Zip | 32204-4753
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Country | US
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Telephone | 904-388-2619
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Fax | 904-388-0240
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Provider Business Mailing Address
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Address Line | 7751 BELFORT PKWY STE 350
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City | JACKSONVILLE
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State | FL
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Zip | 32256-6951
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Country | US
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Telephone | 904-363-7453
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Fax | 904-538-3672
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | ME155286
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License Number State | FL
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