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Individual

DECHONE SAMUELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2202 W OAK AVE, PLANT CITY, FL 33563-7222
(386) 562-4899
Mailing address
6108 MARTA DR, TAMPA, FL 33617-1337

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9403675
FL
363L00000X
Nurse Practitioner
SP018858
PA

Other

Enumeration date
05/12/2018
Last updated
08/14/2023
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