Individual
RICHARD S SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 WEST MORENO STREET, PENSACOLA, FL 32501-2316
(850) 436-4951
(850) 438-6767
Mailing address
PO BOX 622047, ORLANDO, FL 32862-2047
(850) 436-4951
(850) 438-6767
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
ME75613
FL
2085N0904X
Nuclear Radiology Physician
ME75613
FL
2085P0229X
Pediatric Radiology Physician
ME75613
FL
2085R0202X
Diagnostic Radiology Physician
Primary
ME75613
FL
2085R0204X
Vascular & Interventional Radiology Physician
ME75613
FL
2085U0001X
Diagnostic Ultrasound Physician
ME75613
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00078717
—
AL
01
—
43361
BCBS
FL
01
—
51078717SAM
BCBS
AL
Enumeration date
08/30/2006
Last updated
07/11/2007
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