Provider Demographics
NPI:1053292730
Name:SAMEDY, CHRISTOPHER YOURI
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:YOURI
Last Name:SAMEDY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5070 CHERYL LN
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33415-2728
Mailing Address - Country:US
Mailing Address - Phone:561-567-5933
Mailing Address - Fax:
Practice Address - Street 1:5070 CHERYL LN
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33415-2728
Practice Address - Country:US
Practice Address - Phone:561-567-5933
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist