Individual
SAMUEL N LEDERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4671 S CONGRESS AVE, SUITE 100 B, LAKE WORTH, FL 33461-4783
(561) 434-0111
(561) 434-4868
Mailing address
PO BOX 748817, ATLANTA, GA 30374-8817
(813) 286-0033
(813) 282-1806
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME60019
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371772100
—
FL
01
—
LN213
MEDICARE
FL
Enumeration date
08/16/2006
Last updated
06/22/2023
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