MEDICARE: SINDI KAY SAMIS

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	225700000X	Massage Therapist	MA7437	FL

General Provider Information

NPI Number	:	1689815821
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SINDI KAY SAMIS

Provider Business Mailing Address
First Line	:	1632 NE 17TH AVE
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33305-3418
Country	:	US
Telephone Number	:	954-610-8681
Fax Number	:	954-565-1287

Provider Business Practice Location Address
First Line	:	1632 NE 17TH AVE
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33305-3418
Country	:	US
Telephone Number	:	954-610-8681
Fax Number	:	954-565-1287

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

Provider Enumeration Date	:	03/18/2009
Last Update Date	:	03/18/2009

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Directions to “ SINDI KAY SAMIS ” Practice Location

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