Individual
SAMMY JEAN-MARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4057 GLISSON DR, LAKELAND, FL 33810-1936
(617) 800-4768
Mailing address
4057 GLISSON DR, LAKELAND, FL 33810-1936
(617) 800-4768
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PTA27561
FL
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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