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NPI Code Detail

MEDICARE: DR. MARIA ELENA SAMERSON MD

MEDICARE: DR. MARIA ELENA SAMERSON MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician4301088817MI
2208000000XPediatrics PhysicianME104221FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174737878
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARIA ELENA SAMERSON MD
Provider Business Mailing Address
First Line : PO BOX 82969
Second Line :
City : TAMPA
State : FL
Zip : 33682-2969
Country : US
Telephone Number : 813-866-0930
Fax Number : 813-866-0929
Provider Business Practice Location Address
First Line : 3901 S WESTSHORE BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33611-1003
Country : US
Telephone Number : 813-712-1940
Fax Number : 813-866-0929
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2007
Last Update Date : 04/17/2013

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