Individual
DR. SAMUEL M CLEVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
323 JEFFORDS ST, CLEARWATER, FL 33756-3825
(727) 298-6277
(727) 447-7175
Mailing address
101 ROYAL CT, SAFETY HARBOR, FL 34695-5131
(727) 712-1339
(727) 712-9615
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
FL3907
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57481
BLUE SHIELD
FL
01
—
P00058055
RAILROAD MEDICARE
FL
Enumeration date
07/27/2006
Last updated
07/08/2007
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