MEDICARE: CHRISTOPHER YOURI SAMEDY

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	174400000X	Specialist		FL

General Provider Information

NPI Number	:	1053292730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER YOURI SAMEDY

Provider Business Mailing Address
First Line	:	5070 CHERYL LN
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33415-2728
Country	:	US
Telephone Number	:	561-567-5933
Fax Number	:

Provider Business Practice Location Address
First Line	:	5070 CHERYL LN
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33415-2728
Country	:	US
Telephone Number	:	561-567-5933
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/10/2025
Last Update Date	:	09/10/2025

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