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Individual

DAVID J SAMUELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 TAMPA GENERAL CIR, SUITE A327, TAMPA, FL 33606-3571
(813) 844-4434
(813) 844-4972
Mailing address
400 N ASHLEY DR, SUITE 1625, TAMPA, FL 33602-4300
(813) 514-6387
(813) 844-4972

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME54705
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
063545600
FL
01
10475
BLUE CROSS
FL
Enumeration date
07/28/2006
Last updated
06/22/2015
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