Individual
ANEETA P SAMUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
13607 PINE VILLA LN, FORT MYERS, FL 33912-1617
(239) 424-3123
(239) 424-4041
Mailing address
13607 PINE VILLA LN, FORT MYERS, FL 33912-1617
(239) 424-3123
(239) 424-4041
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME98222
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279345800
—
FL
01
—
P00854689
RAILROAD
FL
Enumeration date
03/22/2007
Last updated
06/19/2020
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