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Individual

DR. SAMANTHA MICHELLE SUBLETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
399 9TH ST N STE 300, NAPLES, FL 34102-5820
(239) 624-4200
Mailing address
399 9TH ST N STE 300, NAPLES, FL 34102-5820
(239) 624-4200

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01067207A
IN
207RC0001X
Clinical Cardiac Electrophysiology Physician
01067207A
IN
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
ME139839
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000990787
ANTHEM PIN
IN
05
201029980
IN
Enumeration date
04/11/2007
Last updated
08/07/2019
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