Individual
FELICE J SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7100 W CAMINO REAL, SUITE 301, BOCA RATON, FL 33433-5510
(561) 465-2598
(561) 465-2599
Mailing address
7100 W CAMINO REAL, SUITE 301, BOCA RATON, FL 33433-5510
(561) 465-2598
(561) 465-2599
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME66308
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251213100
—
FL
01
—
31672
BXBS FL
FL
Enumeration date
07/17/2006
Last updated
11/11/2014
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