Individual
SAM P HARGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
745 ORIENTA AVE, STE.1191, ALTAMONTE SPRINGS, FL 32701-5619
(888) 551-3184
Mailing address
745 ORIENTA AVE, SUITE 1191, ALTAMONTE SPRINGS, FL 32701-5619
(407) 329-7675
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA0001956
FL
Other
Enumeration date
10/07/2005
Last updated
10/16/2014
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