Individual
DR. ANGELA MARY-RIAD SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9611 W BROWARD BLVD, PLANTATION, FL 33324-2334
(954) 424-7000
Mailing address
11260 SULLIVAN ST, RIVERVIEW, FL 33578-2140
(813) 689-7571
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125-062979
IL
208000000X
Pediatrics Physician
Primary
ME133485
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101269100
—
FL
Enumeration date
06/01/2013
Last updated
07/06/2023
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