Individual
SAMANTHA EILEEN KWON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 SW 1ST AVE, OCALA, FL 34471-6504
(352) 369-0288
(352) 867-1053
Mailing address
1500 SW 1ST AVE, OCALA, FL 34471-6504
(352) 369-0288
(352) 867-1053
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
39047
SC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME96761
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891802526
—
NC
Enumeration date
08/25/2006
Last updated
02/06/2018
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