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Individual

DR. SAMANTHA LYNNE MULLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
BETHESDA EAST HOSPITAL, 2815 SEACREST BLVD, BOYNTON BEACH, FL 33435
(561) 737-7733
(203) 325-8677
Mailing address
9 NW 17TH STREET, DELRAY BEACH, FL 33444
(203) 554-0893

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036211
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00781700
NY
Enumeration date
06/24/2006
Last updated
09/07/2022
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