Individual
BRYANT CORNELIUS SAMUELS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4203 SW HIGH MEADOWS AVE, PALM CITY, FL 34990-3726
(772) 222-5560
Mailing address
4553 SW HAMMOCK CREEK DR, PALM CITY, FL 34990-7930
(315) 406-0871
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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