Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fady Samah Samy Yassa

Individual provider Pharmacist · NPI 1194382036

Fady Samah Samy Yassa is a Pharmacist in Fort Myers, Florida. Licensed in Florida. Registered with an NPI since 2019.

Licensed in
FL
In the registry since
2019
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Practice location Address checks out

4204 Palm Beach Blvd
Fort Myers, FL 33905-3413
Phone: (239) 694-2114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PS54714 (FL)

Record details

NPI number1194382036
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 27, 2019
Last updated in NPPESMarch 11, 2021
Certification dateMarch 5, 2021

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