Most Relevant Information
Provider Data
| NPI Number: | 1003478264 |
| Provider Name: | SHERIF SAMAAN OPTICIAN |
| Entity Type: | Individual |
| Taxonomy Code: | 156FX1800X |
| Specialty: | Technician/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/08/2019 |
| Last Updated: | 07/08/2019 |
Provider Practice Location
501 N ORLANDO AVE
WINTER PARK
FL
327897313
Practice Location Phone/Fax
| Phone: | 4077552102 |
| Fax: | 3212032122 |
Provider Mailing Location
501 N ORLANDO AVE STE 227
WINTER PARK
FL
327892947
Provider Mailing Phone/Fax
| Phone: | 4077552102 |
| Fax: | 3212032122 |