Provider Demographics
NPI:1396591962
Name:SAMACLINIC LLC
Entity type:Organization
Organization Name:SAMACLINIC LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NOREEN
Authorized Official - Middle Name:HAMED
Authorized Official - Last Name:SHAABAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-310-9494
Mailing Address - Street 1:9920 NW 88TH TER
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-2739
Mailing Address - Country:US
Mailing Address - Phone:330-310-9494
Mailing Address - Fax:
Practice Address - Street 1:3650 NW 82ND AVE STE 407
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-6695
Practice Address - Country:US
Practice Address - Phone:954-715-7357
Practice Address - Fax:888-440-5676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-25
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty