MEDICARE: A TO Z RETINA PLLC

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	207WX0107X	Retina Specialist (Ophthalmology) Physician

General Provider Information

NPI Number	:	1114870797
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A TO Z RETINA PLLC

Provider Business Mailing Address
First Line	:	20525 AMBERFIELD DR UNIT 101
Second Line	:
City	:	LAND O LAKES
State	:	FL
Zip	:	34638-4381
Country	:	US
Telephone Number	:	813-592-5086
Fax Number	:

Provider Business Practice Location Address
First Line	:	20525 AMBERFIELD DR UNIT 101
Second Line	:
City	:	LAND O LAKES
State	:	FL
Zip	:	34638-4381
Country	:	US
Telephone Number	:	813-592-5086
Fax Number	:

Authorized Official
Title or Position	:	PARTNER
Name	:	ABDULLAH ABOU-SAMRA
Credential	:	MD
Telephone Number	:	813-592-5086

Provider Enumeration Date	:	02/16/2026
Last Update Date	:	02/16/2026

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