Individual
SAMUEL A MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
11834 COUNTY ROAD 101 STE 203, LADY LAKE, FL 32162-9340
(352) 633-8230
(352) 633-8232
Mailing address
8867 SW 5OTH AVE, OCALA, FL 34476
(636) 232-4164
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO4509
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/31/2020
Last updated
07/12/2023
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