Provider Demographics
NPI:1427214105
Name:ABU RAHMEH, SAMER M (AUD)
Entity Type:Individual
Prefix:
First Name:SAMER
Middle Name:M
Last Name:ABU RAHMEH
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:SAMER
Other - Middle Name:
Other - Last Name:ABOU RAHMEH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:AUD
Mailing Address - Street 1:1162 CYPRESS GLEN CIR
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-7560
Mailing Address - Country:US
Mailing Address - Phone:407-343-9006
Mailing Address - Fax:407-343-0999
Practice Address - Street 1:1162 CYPRESS GLEN CIR
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-7560
Practice Address - Country:US
Practice Address - Phone:407-343-9006
Practice Address - Fax:407-343-0999
Is Sole Proprietor?:No
Enumeration Date:2008-08-01
Last Update Date:2015-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY1215231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAO497YMedicare PIN