Individual
DR. ABIE ALIAS SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
620 10TH ST N, ST PETERSBURG, FL 33705-1407
(727) 824-8325
(727) 824-8347
Mailing address
PO BOX 12868, ST PETERSBURG, FL 33733-2868
(727) 532-0002
(727) 266-4943
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS11459
FL
207RR0500X
Rheumatology Physician
Primary
OS11459
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004276600
—
FL
Enumeration date
07/11/2007
Last updated
11/30/2016
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