Individual
PETER SAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7050 GALL BLVD, ZEPHYRHILLS, FL 33541-1347
(813) 615-7460
Mailing address
7050 GALL BLVD, ZEPHYRHILLS, FL 33541-1347
(813) 615-7460
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME166298
FL
390200000X
Student in an Organized Health Care Education/Training Program
ME166298
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
04/12/2019
Last updated
07/18/2024
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