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Organization

DRS. SAMUEL ROURA AND ASSOCIATES, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SAMUEL E ROURA M.D. (C.E.O.)
(305) 969-9016
Entity
Organization

Contact information

Practice address
10621 SW 88TH ST, SUITE 200, MIAMI, FL 33176-8708
(305) 969-9016
(305) 971-0701
Mailing address
PO BOX 560308, MIAMI, FL 33256-0308
(305) 969-9016
(305) 971-0701

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
MT 1757
FL
2084P0800X
Psychiatry Physician
Primary
ME 67088
FL
2084P0802X
Addiction Psychiatry Physician
ME 67088
FL
2084P0804X
Child & Adolescent Psychiatry Physician
ME 67088
FL

Other

Enumeration date
07/08/2011
Last updated
07/08/2011
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