Individual
DR. SAMUEL DEJESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
32 W GORE ST STE 204, ORLANDO, FL 32806-1134
(407) 649-6884
(407) 245-7059
Mailing address
32 W GORE ST STE 204, ORLANDO, FL 32806-1134
(407) 649-6884
(407) 245-7059
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
ME78134
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259597400
—
FL
Enumeration date
06/01/2005
Last updated
08/25/2022
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