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NPI Code Detail

MEDICARE: DR. SAMIR YAMIL ARRAY M.D.

MEDICARE: DR. SAMIR YAMIL ARRAY 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
1207Q00000XFamily Medicine PhysicianME62946FL
2207QG0300XGeriatric Medicine (Family Medicine) PhysicianME62946FL

General Provider Information

NPI Number : 1811963234
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAMIR YAMIL ARRAY M.D.
Provider Business Mailing Address
First Line : PO BOX 44008
Second Line : UFJP PROVIDER ENROLLMENT
City : JACKSONVILLE
State : FL
Zip : 32231-4008
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8274 BAYBERRY RD
Second Line : UFJP BAYMEADOWS PEDIATRICS
City : JACKSONVILLE
State : FL
Zip : 32256-7470
Country : US
Telephone Number : 904-633-0800
Fax Number : 904-633-0381
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2006
Last Update Date : 03/13/2008

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