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Individual

DR. SAMUEL MOWERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1065 NE 125 ST, STE 206, N MIAMI, FL 33161
(888) 852-6672
(305) 891-4228
Mailing address
1065 NE 125 ST, STE 409, NORTH MIAMI, FL 33161
(888) 852-6672
(305) 891-4228

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME97219
FL
2084P0804X
Child & Adolescent Psychiatry Physician
ME97219
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00177115
NY
01
102436
LICENSE
NY
01
ME97219
LICENSE
LA
Enumeration date
11/07/2006
Last updated
02/13/2014
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