Samcam, Ivan Alfonso
Samcam, Ivan Alfonso is an individual health care provider with primary practice located at 6770 Immokalee Road Suite 111, Naples FL 34119. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Samcam, Ivan Alfonso can be contacted via phone (239) 594-8002.Contact Information
Primary practice address
6770 Immokalee Road Suite 111
Naples FL 34119
Phone: (239) 594-8002
Fax: (877) 334-1886
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | ME131378 | Florida |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | ME131378 | Florida |
Profile Details
| NPI number | 1194131730 |
|---|---|
| LBN Legal business name | Samcam, Ivan Alfonso |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2014 |
| Last updated | Dec 5th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194131730 | NPPES |
| Florida | Other | JA096Z | MEDICARE PTAN |
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