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Individual

MR. JOSEPH ERICK SAMUELS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.M.

Contact information

Practice address
2639 W NORVELL BRYANT HWY, LECANTO, FL 34461-9440
(352) 746-5669
(352) 746-5795
Mailing address
2639 W NORVELL BRYANT HWY, LECANTO, FL 34461-9440
(352) 746-5669
(352) 746-5795

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP 1286
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C0620
BC/BS OF FLORIDA PROVIDER
FL
01
C7567
BC/BS OF FLORIDA PROVIDER
FL
Enumeration date
07/17/2006
Last updated
02/26/2019
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