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Organization
DR. SAM, INC.
Active
Organization
DR. SAM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL LOPEZ DE VICTORIA PH.D. (OWNER/DIRECTOR)
(786) 299-7548
Entity
Organization
Contact information
Practice address
12651 S DIXIE HWY, SUITE 327, MIAMI, FL 33156-5975
(786) 299-7548
(305) 253-3078
Mailing address
12651 S. DIXIE HWY, SUITE 327, MIAMI, FL 33156-5964
(786) 299-7548
(305) 253-3078
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH9101
FL
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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