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Organization
SRINIVAS SAMAK MD.PA
Active
Organization
SRINIVAS SAMAK MD.PA
Active
Parent organization
SRINIVAS P.SAMAK.MD.PA.
Other names
SRINIVAS P.SAMAK.MD.PA.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SRINIVAS P.SAMAK.MD.PA.
Authorized official
DR. SRINIVAS P SAMAK MD (PRESIDENT)
(863) 688-3674
Entity
Organization
Contact information
Practice address
1500 LAKELAND HILLS BLVD, #4, LAKELAND, FL 33805-3257
(863) 688-3674
(863) 616-9902
Mailing address
1500 LAKELAND HILLS BLVD, #4, LAKELAND, FL 33805-3257
(863) 688-3674
(863) 616-9902
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28681
FL
Other
Enumeration date
11/15/2007
Last updated
11/15/2007
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