Individual
SAMUEL SLONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17 DAVIS BLVD, SUITE 308, TAMPA, FL 33606-3475
(813) 250-2506
Mailing address
17 DAVIS BLVD, SUITE 308, TAMPA, FL 33606-3475
(813) 250-2507
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME146957
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118459600
—
FL
01
—
I2NWN
BCBS
FL
Enumeration date
03/29/2017
Last updated
01/04/2024
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