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Individual

SAMANTHA XAVIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
10131 W COLONIAL DR, OCOEE, FL 34761
(407) 206-2020
(407) 206-0127
Mailing address
160 BOSTON AVE, ALTAMONTE SPRINGS, FL 32701-4706
(407) 775-7654
(407) 834-6082

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
266109
NY
207W00000X
Ophthalmology Physician
Primary
ME133847
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
022749000
FL
Enumeration date
12/08/2010
Last updated
07/27/2018
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