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Organization

JACOB A SAMANDER MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JACOB A SAMANDER MD (OWNER)
(772) 905-8531
Entity
Organization

Contact information

Practice address
1401 SE GOLDTREE DR, STE 104, PORT ST LUCIE, FL 34952-7584
(772) 905-8531
(772) 905-8526
Mailing address
PO BOX 882076, PORT ST LUCIE, FL 34988-2076
(772) 905-8531
(772) 905-8526

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0063339
FL

Other

Enumeration date
02/11/2009
Last updated
07/29/2009
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