Provider Demographics
NPI:1043469455
Name:KAMYAB, ARMIN (MD)
Entity Type:Individual
Prefix:MR
First Name:ARMIN
Middle Name:
Last Name:KAMYAB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4301 SUN N LAKE BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33872-2138
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4301 SUN N LAKE BLVD STE 102
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33872-2138
Practice Address - Country:US
Practice Address - Phone:863-402-3161
Practice Address - Fax:863-402-8244
Is Sole Proprietor?:No
Enumeration Date:2008-09-10
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME148086208600000X
MO2014000402208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO200015806Medicaid
FLN7874OtherHF MEDICARE
FL111408800Medicaid