Individual
DR. GEORGE P SAMRAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 392-4541
(352) 392-7766
Mailing address
PO BOX 100237, GAINESVILLE, FL 32610-0237
(352) 265-9593
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME76021
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255010500
—
FL
Enumeration date
07/06/2006
Last updated
09/11/2020
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