Provider Demographics
NPI:1497174478
Name:MAAROUF, JOHN SAMI (DO)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:SAMI
Last Name:MAAROUF
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:6245 BAY CLUB DR APT 4
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-1514
Mailing Address - Country:US
Mailing Address - Phone:586-994-1816
Mailing Address - Fax:248-449-8205
Practice Address - Street 1:301 HARBOUR PLACE DR UNIT 2007
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33602-6808
Practice Address - Country:US
Practice Address - Phone:248-321-6612
Practice Address - Fax:248-449-8205
Is Sole Proprietor?:No
Enumeration Date:2014-04-07
Last Update Date:2020-10-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5101021118207QS0010X
FLOS14806207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1497174478Medicaid
FLLO385OtherMEDICARE
FL102163200Medicaid
MIP02374319OtherMEDICARE