Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | ME78986 | FL |
NPI | 1063442317 |
---|---|
Provider Name | Samia Fahmi Zaki |
First Address | Miami, FL 33144-2031 |
Second Address | Doral, FL 33178-2352 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 15/07/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
17427 | BCBS FL (01) | |
263425200 | (05) | FL |
H73076 | (02) |