Provider Demographics
NPI:1669475778
Name:GARAS, SAMER M (MD)
Entity Type:Individual
Prefix:DR
First Name:SAMER
Middle Name:M
Last Name:GARAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1824 KING ST
Mailing Address - Street 2:STE 300
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32204-4736
Mailing Address - Country:US
Mailing Address - Phone:904-633-2021
Mailing Address - Fax:904-633-9793
Practice Address - Street 1:1824 KING ST
Practice Address - Street 2:SUITE 300
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32204-4735
Practice Address - Country:US
Practice Address - Phone:904-388-1820
Practice Address - Fax:904-388-1827
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2016-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME84909207RC0000X
GA045466207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00961837BMedicaid
FL13580OtherBCBS
FL285797OtherAVMED
GA520065OtherBCBS
FL7482382OtherAETNA
GA00961837AMedicaid
FL265140800Medicaid
FLH61814Medicare UPIN
FL13580ZMedicare ID - Type Unspecified
GA520065OtherBCBS
GA00961837BMedicaid