Individual
SAMUEL BRANDON NEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 COLONNADE DR STE 230, PONTE VEDRA, FL 32081-6237
(904) 640-8249
(904) 640-8250
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
ME122658
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015224200
—
FL
Enumeration date
04/11/2011
Last updated
06/23/2023
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