Individual
ILANIT SAMUELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4500 BISCAYNE BLVD, MIAMI, FL 33137-3254
(305) 532-5552
Mailing address
4500 BISCAYNE BLVD, MIAMI, FL 33137-3254
(305) 532-5552
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 9104535
FL
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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