Provider Demographics
NPI:1770181992
Name:SAMMY, ALISTAIR (RRT)
Entity Type:Individual
Prefix:MR
First Name:ALISTAIR
Middle Name:
Last Name:SAMMY
Suffix:
Gender:M
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 ROXLAND LN
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32164-8942
Mailing Address - Country:US
Mailing Address - Phone:954-261-3424
Mailing Address - Fax:
Practice Address - Street 1:1 ROXLAND LN
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32164-8942
Practice Address - Country:US
Practice Address - Phone:954-261-3424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-09
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRT17872227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered