Individual
DR. ROGER Z SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7100 CAMINO REAL STE 401, BOCA RATON, FL 33433-5510
(561) 368-8998
(561) 392-9170
Mailing address
7100 CAMINO REAL STE 401, BOCA RATON, FL 33433-5510
(561) 368-8998
(561) 392-9170
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
J0660
TX
2084P0800X
Psychiatry Physician
Primary
ME0059066
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14560Z
PROVIDER
FL
Enumeration date
10/10/2006
Last updated
10/08/2020
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