Mohamad Reza Samiian, MD PA

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

ME20018 Issued in FL

Practice address

4221 Southpoint Pkwy
Jacksonville, FL 32216

Phone

(904) 296-2810

Fax

(904) 296-3424

NPI assigned

Oct 18, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine, Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1336138734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 SOUTHPOINT PKWY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32216",
            "telephone_number": "904-296-2810",
            "fax_number": "904-296-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 SOUTHPOINT PKWY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32216",
            "telephone_number": "904-296-2810",
            "fax_number": "904-296-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMIIAN",
        "first_name": "MOHAMAD",
        "middle_name": "REZA",
        "credential": "MD PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME20018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER #",
            "identifier": "15880",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dionne Samaroo
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• Bruce S Sambursky, D.C.
• Steven Bien Samera
• Laila Samiian, M.D.
• Samir K. Hanna & Associates, P.a.
• Samir N Hanania, DMD, PA (Mandarin Dental Professionals)
• Samkin Global, Inc. (Diabetx Care, Inc.)
• Sophiya Preethy Samleo Leveen, MD
• Jacob Forrester Sammon, MD

• Plastic Surgery Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.