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Individual

DR. GREGORY SAMSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2780 CLEVELAND AVE, FORT MYERS, FL 33901-5858
(239) 343-2686
(239) 343-3144
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-2686
(239) 343-3144

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
0101263323
VA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME99900
FL
2081P0004X
Spinal Cord Injury Medicine Physician
ME 99900
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103904900
FL
Enumeration date
10/10/2007
Last updated
04/02/2024
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