Individual
HENRY N SAMSOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
740 W PLYMOUTH AVE, DELAND, FL 32720-3282
(386) 734-9122
Mailing address
740 W PLYMOUTH AVE, DELAND, FL 32720-3282
(386) 734-9122
(386) 736-4348
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9103133
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292882500
—
FL
Enumeration date
04/13/2006
Last updated
04/17/2024
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