Individual
MR. KEVIN LAFAYETTE SAMUEL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 SW 1ST AVE, OCALA, FL 34471-6504
(352) 693-0930
Mailing address
11300 NE 2ND AVE, MIAMI, FL 33161-6628
(352) 693-0930
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9445596
FL
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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