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NPI Code Detail

MEDICARE: RAFAL SAMAAN

MEDICARE: RAFAL SAMAAN
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
12355S0801XSpeech-Language Assistant
2235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1972370419
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAFAL SAMAAN
Provider Business Mailing Address
First Line : 3901 UNIVERSITY BLVD S
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-4312
Country : US
Telephone Number : 904-345-7251
Fax Number :
Provider Business Practice Location Address
First Line : 104 ASHOURIAN AVE STE 105
Second Line :
City : ST AUGUSTINE
State : FL
Zip : 32092-5106
Country : US
Telephone Number : 904-230-7761
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2023
Last Update Date : 07/23/2025

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Directions to “ RAFAL SAMAAN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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