# PHYSICAL MEDICINE AND REHABILITATION CONSULTANT, LLC

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

## Provider details

- **NPI number:** 1982984704
- **Authorized official:** DR. GREGORY SAMSON M.D. (PHYSICIAN)
- **Authorized official phone:** (919) 260-8760

## Contact information

- **Practice address:** 6175 SW 192ND AVE, PEMBROKE PINES, FL 33332
- **Practice address phone:** (919) 260-8760
- **Mailing address:** 6175 SW 192ND AVE, PEMBROKE PINES, FL 33332
- **Mailing address phone:** (919) 260-8760

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | ME 99900 | FL | Yes |

## Other

- **Enumeration date:** 08/24/2011
- **Last updated:** 08/24/2011