Individual
SAMUEL BATEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
520 NW 131ST ST, NORTH MIAMI, FL 33168-3713
(786) 718-5910
Mailing address
520 NW 131ST ST, NORTH MIAMI, FL 33168-3713
(786) 718-5910
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5240795
FL
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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