Koussayer, Samer

Koussayer, Samer is an individual health care provider with primary practice located at 325 South Parsons Ave , Brandon FL 33511. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Koussayer, Samer can be contacted via phone (813) 681-4644.

Contact Information

Primary practice address
325 South Parsons Ave Brandon FL 33511
Phone: (813) 681-4644
Fax: (813) 654-4486
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME0074361 Florida
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X ME0074361 Florida

Profile Details

NPI number 1235215062
LBN Legal business name Koussayer, Samer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated May 30th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235215062 NPPES
Other 9606443 GHI
Other 47284 GHI
Other 01111 GHI
MEDICAID 264790700 GHI
MEDICAID 104574203 GHI
Other 3751735001 GHI
Other 7138025 GHI
Other 218058 GHI
Other 261352 GHI
Other 770002304 GHI

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