Individual
SAMUEL DEFIGARELLI I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1129 N MISSOURI AVE, LAKELAND, FL 33805-4411
(866) 234-8534
Mailing address
47 5TH ST NW, WINTER HAVEN, FL 33881-4672
(866) 234-8534
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME149910
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117378300
—
FL
Enumeration date
07/02/2015
Last updated
03/24/2023
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