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Individual

EDWIN ASHTON SAMMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 284-1177
(863) 284-1730
Mailing address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 284-1177
(863) 284-1730

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME73243
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ME0073243
STATE LICENCE
FL
Enumeration date
06/11/2008
Last updated
06/11/2008
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