Individual
SAMUEL A. CHRISTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1370 13TH AVENUE, SOUTH, SUITE 118, JACKSONVILLE BEACH, FL 32250-3206
(904) 247-1456
(904) 247-2281
Mailing address
PO BOX 16568, JACKSONVILLE, FL 32245-6568
(904) 472-2300
(904) 472-2330
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME25672
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041409300
—
FL
Enumeration date
03/29/2006
Last updated
09/27/2012
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