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Individual

SAMUEL S ORNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5901 E FOWLER AVE STE 100, TEMPLE TERRACE, FL 33617-2305
(813) 978-9700
Mailing address
7107 STIRRUP CIR, SAN ANTONIO, TX 78240-3241
(214) 803-0465

Taxonomy

Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
ME172136
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/15/2020
Last updated
06/20/2025
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