David Samara (NPI# 1679513477, PAC ID# 9032017694) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GERIATRIC MEDICINE.
| Nation Provider ID (NPI) | 1679513477 |
| PAC ID by PECOS | 9032017694 |
| Professional Enrollment ID | I20100108000542 |
| Full Name | David Samara |
| Organization Legal Name | FIRST COAST LTC INC |
| Address |
6555 Chester Ave Suite 1 Jacksonville FL 32217-2279 |
| Phone Number | 9042658209 |
| Gender | M |
| Graduation Year | 1970 |
| Primary Specialty | GERIATRIC MEDICINE |
| Secondary Specialties | UROLOGY |
| Group Practice PAC ID | 9234037896 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100044 | MARTIN MEDICAL CENTER |
| 100001 | SHANDS JACKSONVILLE |
| 100068 | FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER |
| 100080 | JFK MEDICAL CENTER |
| 100088 | BAPTIST MEDICAL CENTER JACKSONVILLE |
| Address | Phone | Organization |
|---|---|---|
| 6555 Chester Ave, Suite 1, Jacksonville, FL 32217-2279 | 9042658209 | FIRST COAST LTC INC |
| 25 State Rd, 13 Att Clinic, Saint Johns, FL 32259-2842 | 9042658209 | FIRST COAST LTC INC |
| Organization Legal Name | FIRST COAST LTC INC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Analyn Tesoro | Nurse Practitioner | First Coast Ltc Inc | 6555 Chester Ave, Suite 1, Jacksonville, FL 32217-2279 |
| Jennifer Hoff | Nurse Practitioner | First Coast Ltc Inc | 25 State Rd, 13 Att Clinic, Saint Johns, FL 32259-2842 |
| Leanne Derrico | Nurse Practitioner | First Coast Ltc Inc | 6555 Chester Ave, Suite 1, Jacksonville, FL 32217-2279 |
| Mary Mccrackin | Nurse Practitioner | First Coast Ltc Inc | 6555 Chester Ave, Suite 1, Jacksonville, FL 32217-2279 |
| Sullybeth Torres | Nurse Practitioner | First Coast Ltc Inc | 6555 Chester Ave, Suite 1, Jacksonville, FL 32217-2279 |
| Mirian A Couch | Physician Assistant | First Coast Ltc Inc | 6555 Chester Ave, Suite 1, Jacksonville, FL 32217-2279 |
| Cynthia Priscilla Quinones | Nurse Practitioner | First Coast Ltc Inc | 6555 Chester Ave, Suite 1, Jacksonville, FL 32217-2279 |
| Tara Adams | Nurse Practitioner | First Coast Ltc Inc | 6555 Chester Ave, Suite 1, Jacksonville, FL 32217-2279 |
| Andrea Hoff | Physician Assistant | First Coast Ltc Inc | 6555 Chester Ave, Jacksonville, FL 32217-2279 |
| Tiffany N Mcclain | Physician Assistant | First Coast Ltc Inc | 6555 Chester Ave, Suite 1, Jacksonville, FL 32217-2279 |
| Street Address |
6555 CHESTER AVE SUITE 1 |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32217-2279 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Analyn Tesoro | Nurse Practitioner | First Coast Ltc Inc | 6555 Chester Ave, Suite 1, Jacksonville, FL 32217-2279 |
| Leanne Derrico | Nurse Practitioner | First Coast Ltc Inc | 6555 Chester Ave, Suite 1, Jacksonville, FL 32217-2279 |
| Mary Mccrackin | Nurse Practitioner | First Coast Ltc Inc | 6555 Chester Ave, Suite 1, Jacksonville, FL 32217-2279 |
| Sullybeth Torres | Nurse Practitioner | First Coast Ltc Inc | 6555 Chester Ave, Suite 1, Jacksonville, FL 32217-2279 |
| Mirian A Couch | Physician Assistant | First Coast Ltc Inc | 6555 Chester Ave, Suite 1, Jacksonville, FL 32217-2279 |
| Cynthia Priscilla Quinones | Nurse Practitioner | First Coast Ltc Inc | 6555 Chester Ave, Suite 1, Jacksonville, FL 32217-2279 |
| Tara Adams | Nurse Practitioner | First Coast Ltc Inc | 6555 Chester Ave, Suite 1, Jacksonville, FL 32217-2279 |
| Andrea Hoff | Physician Assistant | First Coast Ltc Inc | 6555 Chester Ave, Jacksonville, FL 32217-2279 |
| Tiffany N Mcclain | Physician Assistant | First Coast Ltc Inc | 6555 Chester Ave, Suite 1, Jacksonville, FL 32217-2279 |
| Anne Petersen | Physician Assistant | First Coast Ltc Inc | 6555 Chester Ave, Jacksonville, FL 32217-2279 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bruce I Kristol | Psychologist, Clinical | 2427 University Blvd W, Jacksonville, FL 32217-2001 | |
| Anand S Gupta | General Surgery | 2535 University Blvd W, Jacksonville, FL 32217-2003 | |
| Raul Soto-acosta | Psychiatry | 2520 University W Blvd, Jacksonville, FL 32217-2004 | |
| Jami D Feltner | Internal Medicine | Baptist Primary Care Inc | 2014 University Blvd W, Jacksonville, FL 32217-2016 |
| Regina Marie Bielawski | Internal Medicine | Baptist Primary Care Inc | 2014 University Blvd W, Jacksonville, FL 32217-2016 |
| Fidel Garcia | Internal Medicine | Baptist Primary Care Inc | 2014 University Blvd W, Jacksonville, FL 32217-2016 |
| Steven Warfield | Chiropractic | Lakewood Chiropractic Clinic, Pa | 2222 University Blvd W, Jacksonville, FL 32217-2020 |
| David T Edenfield | Chiropractic | Lakewood Chiropractic Clinic, Pa | 2222 University Blvd W, Jacksonville, FL 32217-2020 |
| Sohrab Afshari | General Surgery | 2311 University Blvd W, Jacksonville, FL 32217-2022 | |
| James Shore | Chiropractic | 2431 University Blvd W, Jacksonville, FL 32217-2037 | |
| Find all physicians in zip 32217 | |||
| City | JACKSONVILLE |
| Zip Code | 32217 |
| Specialty | GERIATRIC MEDICINE |
| City + Specialty | JACKSONVILLE + GERIATRIC MEDICINE |
Please comment or provide details below to improve the information on David Samara.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.