Individual
SAMUEL KENNEY HOUSTON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
95 COLUMBIA ST, ORLANDO, FL 32806-1101
(407) 849-9621
(407) 420-4056
Mailing address
95 COLUMBIA ST, ORLANDO, FL 32806-1101
(407) 849-9621
(407) 367-6346
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME123038
FL
207WX0107X
Retina Specialist (Ophthalmology) Physician
ME123038
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015132500
—
FL
Enumeration date
03/31/2009
Last updated
04/20/2023
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