Individual
ERIC B SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3840 COCONUT CREEK PKWY, COCONUT CREEK, FL 33066-1617
(954) 580-8867
(954) 580-8942
Mailing address
3840 COCONUT CREEK PKWY, COCONUT CREEK, FL 33066-1617
(954) 580-8867
(545) 808-9679
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
159879
FL
207Q00000X
Family Medicine Physician
16383
NH
207Q00000X
Family Medicine Physician
277277
MA
Other
Enumeration date
07/10/2006
Last updated
04/11/2024
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