Organization
COFFEESTONE HOLDINGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTEL GEORGE SAMUELS MD (PRESIDENT)
(361) 673-3111
Entity
Organization
Contact information
Practice address
14505 COMMERCE WAY STE 800, MIAMI LAKES, FL 33016-1599
(305) 821-8861
(305) 821-8783
Mailing address
14505 COMMERCE WAY STE 800, MIAMI LAKES, FL 33016-1599
(305) 821-8861
(305) 821-8783
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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