MEDICARE: DR. SAMER JUNDI M.D.

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	207R00000X	Internal Medicine Physician	ME 74357	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	:	1508857426
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAMER JUNDI M.D.

Provider Business Mailing Address
First Line	:	PO BOX 31947
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33420-1947
Country	:	US
Telephone Number	:	561-845-4263
Fax Number	:	561-630-7833

Provider Business Practice Location Address
First Line	:	3360 BURNS RD
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-4323
Country	:	US
Telephone Number	:	561-845-4263
Fax Number	:	561-630-7833

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

Provider Enumeration Date	:	10/31/2005
Last Update Date	:	09/21/2007

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