Individual
SAMUEL GILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1680 THE GREENS WAY STE 200, JACKSONVILLE BEACH, FL 32250-1422
(904) 800-7380
(904) 467-8932
Mailing address
1680 THE GREENS WAY STE 200, JACKSONVILLE BEACH, FL 32250-1422
(904) 800-7380
(904) 467-8932
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
264120
MA
2084N0400X
Neurology Physician
Primary
ME140449
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103365500
—
FL
Enumeration date
06/26/2015
Last updated
07/15/2024
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