Individual
DR. SAMUEL E ROURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10621 SW 88TH ST, SUITE 200, MIAMI, FL 33176-8708
(305) 969-9016
(305) 971-0701
Mailing address
10621 SW 88TH ST, SUITE 200, MIAMI, FL 33176-8708
(305) 969-9016
(305) 971-0701
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME67088
FL
2084P0804X
Child & Adolescent Psychiatry Physician
ME 67088
FL
Other
Enumeration date
12/28/2006
Last updated
09/18/2012
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