Healthcare Provider Details

I. General information

NPI: 1760793566
Provider Name (Legal Business Name): MARTEL GEORGE SAMUELS M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2010
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4801 LINTON BLVD
DELRAY BEACH FL
33445-6503
US

IV. Provider business mailing address

20302 SOMERSET HILLS DR
BOCA RATON FL
33434-5878
US

V. Phone/Fax

Practice location:
  • Phone: 954-412-2026
  • Fax:
Mailing address:
  • Phone: 954-412-2026
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number01067507A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME129553
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: