MEDICARE: LANALEE ARABA SAM MD PA

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	208600000X	Surgery Physician
2	207V00000X	Obstetrics & Gynecology Physician

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	:	1801086335
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LANALEE ARABA SAM MD PA

Provider Business Mailing Address
First Line	:	2466 E COMMERCIAL BLVD
Second Line	:	SUITE 101
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-4011
Country	:	US
Telephone Number	:	954-776-4877
Fax Number	:	954-229-9043

Provider Business Practice Location Address
First Line	:	2466 E COMMERCIAL BLVD
Second Line	:	SUITE 101
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-4011
Country	:	US
Telephone Number	:	954-776-4877
Fax Number	:	954-229-9043

Authorized Official
Title or Position	:	DIRECTOR
Name	:	LANALEE ARABA SAM
Credential	:	MD PA
Telephone Number	:	954-776-4877

Provider Enumeration Date	:	07/31/2007
Last Update Date	:	04/25/2008

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Directions to “LANALEE ARABA SAM MD PA ” Practice Location

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