# DRS. SAMUEL ROURA AND ASSOCIATES, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437446663
- **Authorized official:** DR. SAMUEL E ROURA M.D. (C.E.O.)
- **Authorized official phone:** (305) 969-9016

## Contact information

- **Practice address:** 10621 SW 88TH ST, SUITE 200, MIAMI, FL 33176-8708
- **Practice address phone:** (305) 969-9016
- **Practice address fax:** (305) 971-0701
- **Mailing address:** PO BOX 560308, MIAMI, FL 33256-0308
- **Mailing address phone:** (305) 969-9016
- **Mailing address fax:** (305) 971-0701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | MT 1757 | FL | — |
| 2084P0800X | Psychiatry Physician | ME 67088 | FL | Yes |
| 2084P0802X | Addiction Psychiatry Physician | ME 67088 | FL | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | ME 67088 | FL | — |

## Other

- **Enumeration date:** 07/08/2011
- **Last updated:** 07/08/2011