Individual
SAM HUDSON RAPHAEL JEAN PIERRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
9076 SW 21ST CT APT C, BOCA RATON, FL 33428-7731
(443) 691-3851
Mailing address
9076 SW 21ST CT APT C, BOCA RATON, FL 33428-7731
(443) 691-3851
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
25-380
FL
Other
Enumeration date
08/29/2025
Last updated
08/29/2025
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