Provider Demographics
NPI:1295850733
Name:SCIME, SAMUEL G (MD)
Entity Type:Individual
Prefix:MR
First Name:SAMUEL
Middle Name:G
Last Name:SCIME
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7401 NORTH UNIVERSITY DRIVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-2919
Mailing Address - Country:US
Mailing Address - Phone:954-721-8330
Mailing Address - Fax:954-721-8330
Practice Address - Street 1:7401 NORTH UNIVERSITY DRIVE
Practice Address - Street 2:SUITE 202
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-2919
Practice Address - Country:US
Practice Address - Phone:954-721-8330
Practice Address - Fax:954-721-8330
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2014-11-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME15470207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
D51717Medicare UPIN
FL06800Medicare PIN