Individual
SAMUEL HYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6638 CENTRAL AVE, ST PETERSBURG, FL 33707-1331
(786) 709-0166
Mailing address
PO BOX 940382, MAITLAND, FL 32794-0382
(786) 709-0166
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
TT 15695
FL
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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