Provider Demographics
NPI:1578975454
Name:SAMIEE, JUSTIN (RN)
Entity Type:Individual
Prefix:
First Name:JUSTIN
Middle Name:
Last Name:SAMIEE
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6269 NW 7TH AVE
Mailing Address - Street 2:CAC FMC LIBERTY CITY
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33150-4394
Mailing Address - Country:US
Mailing Address - Phone:305-762-5233
Mailing Address - Fax:
Practice Address - Street 1:8350 NW 52ND TER
Practice Address - Street 2:SUITE 301, , CAC FMC, JUSTIN SAMIEE
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-7811
Practice Address - Country:US
Practice Address - Phone:305-463-6600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-27
Last Update Date:2014-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9345474163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care