Organization
PHYSICAL MEDICINE AND REHABILITATION CONSULTANT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY SAMSON M.D. (PHYSICIAN)
(919) 260-8760
Entity
Organization
Contact information
Practice address
6175 SW 192ND AVE, PEMBROKE PINES, FL 33332
(919) 260-8760
Mailing address
6175 SW 192ND AVE, PEMBROKE PINES, FL 33332
(919) 260-8760
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME 99900
FL
Other
Enumeration date
08/24/2011
Last updated
08/24/2011
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