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SAM F WANIS DO PA
NPI 1235375122
Obstetrics & Gynecology in Lake Worth, FL

Active since December 23, 2008CLIA 10D0993388 · Waiver
2925 10TH AVE N, SUITE #204, LAKE WORTH, FL 33460(561) 969-3500(561) 966-8898 Get Directions Write a Review

NPPES record last updated: February 4, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sam F Wanis Do Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAM F WANIS DO PA (NPI 1235375122) is a healthcare organization registered as an obstetrics & gynecology in Lake Worth, Florida and active in the NPI registry since December 2008. The organization holds a CLIA Waiver certificate valid through November 13, 2027 and lists Sameh Fayez Wanis, Physician, as its authorized official.

NPPES Registry Identity

NPI1235375122
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameSAM F WANIS DO PA
Location Address2925 10TH AVE N, SUITE #204Lake Worth, FL 33460-3046
Mailing Address2925 10th Ave N, Suite #204Lake Worth, FL 33460-3046 · (561) 969-3500 · Fax (561) 966-8898
Phone(561) 969-3500
Fax(561) 966-8898
Organization SubpartNo
Authorized OfficialSameh Fayez WanisPhysician · (561) 969-3500
Enumeration DateDecember 23, 2008
Last NPPES UpdateFebruary 4, 2009
✔ NPI 1235375122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in FL · OS7511
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2925 10TH AVE N, Lake Worth, FL 33460
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Other Identifiers 2

Medicare UPINE0738AFL
Medicaid253706100FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0993388

Sam F Wanis Do PA · Boynton Beach, FL
Active · expires Nov 13, 2027
CLIA Number10D0993388
Laboratory TypePhysician Office
Certificate Effective DateNovember 14, 2025
Certificate Expiration DateNovember 13, 2027
Laboratory DirectorSam F. Wanis
Laboratory Phone(561) 969-3500
Laboratory LocationSam F Wanis Do PA2828 South Seacrest Blvd Ste 201, Boynton Beach, FL 33435
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sam F Wanis Do PA's NPI number?

The NPI number for Sam F Wanis Do PA is 1235375122. It was assigned to this organization in the NPPES registry on December 23, 2008.

Where is Sam F Wanis Do PA located?

Sam F Wanis Do PA is located at 2925 10th Ave N Suite #204, Lake Worth, FL 33460. The listed phone number is (561) 969-3500.

What is Sam F Wanis Do PA's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Sam F Wanis Do PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0993388) is associated with this NPI, valid through November 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sam F Wanis Do PA was last updated on February 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.