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Individual

DR. WAYNE ANTHONY SAMPSON

Active
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Individual

DR. WAYNE ANTHONY SAMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0071014
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003457000
—
FL
05
—
071018
—
FL
01
—
07549
UNIVERSAL HEALTHPLAN
FL
05
—
250984900
—
FL
01
—
32877
BC/BS OF FLORIDA
DC
Enumeration date
05/13/2006
Last updated
11/15/2016
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