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Organization
PWS MEDICAL PA
Active
Organization
PWS MEDICAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUILLERMO SAMPER M.D. (MEDICAL DOCTOR)
(305) 901-2133
Entity
Organization
Contact information
Practice address
8200 SW 117TH AVE, #300, MIAMI, FL 33183-3856
(305) 901-2133
(305) 901-2117
Mailing address
PO BOX 560275, MIAMI, FL 33256-0275
(305) 901-2133
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME97045
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00419000
—
FL
Enumeration date
12/23/2014
Last updated
08/04/2015
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