Provider Demographics
NPI:1790971059
Name:ARIF SAMI, MD, PA
Entity Type:Organization
Organization Name:ARIF SAMI, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARIF
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-726-8081
Mailing Address - Street 1:208 S APOPKA AVE
Mailing Address - Street 2:
Mailing Address - City:INVERNESS
Mailing Address - State:FL
Mailing Address - Zip Code:34452-4803
Mailing Address - Country:US
Mailing Address - Phone:352-726-8081
Mailing Address - Fax:352-726-0105
Practice Address - Street 1:208 S APOPKA AVE
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:FL
Practice Address - Zip Code:34452-4803
Practice Address - Country:US
Practice Address - Phone:352-726-8081
Practice Address - Fax:352-726-0105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-20
Last Update Date:2007-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00727522084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLDD8599OtherRAILROAD MEDICARE
FL42659OtherBCBSFL
FLDD8599OtherRAILROAD MEDICARE
FLK8370Medicare PIN