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Individual

THOMAS SAMUEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2950 CLEVELAND CLINIC BLVD, WESTON, FL 33331-3609
(954) 659-5840
(954) 659-5810
Mailing address
2950 CLEVELAND CLINIC BLVD, WESTON, FL 33331-3609
(954) 659-5840
(954) 659-5810

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
057014
GA
207RX0202X
Medical Oncology Physician
MD 417495
PA
207RX0202X
Medical Oncology Physician
Primary
ME112945
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1010075190002
PA
Enumeration date
10/12/2005
Last updated
01/08/2014
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