Individual
JORDAN DAVID SAMTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME53093
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193315
HEALTHEASE
FL
01
—
2064658
AETNA
FL
01
—
206926
AMERIGROUP
FL
01
—
247082
AVMED
FL
05
—
252231400
—
FL
01
—
4950862005
CIGNA
FL
01
—
593618517
HUMANA
FL
01
—
9841
BLUE CROSS AND BLUE SHIEL
FL
Enumeration date
10/11/2005
Last updated
01/13/2011
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