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General NPI Number Information
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NPI Number | 1083543979
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Entity Type | Organization
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Legal Business Name | DR. CARLOS J SAMADA LLC
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Dates
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Enumeration Date | 05/16/2026
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Last Update Date | 05/16/2026
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Provider Practice Location Address
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Address Line | 263 SAINT THOMAS AVE
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City | KEY LARGO
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State | FL
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Zip | 33037-4321
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Country | US
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Telephone | 305-859-1533
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Fax | 786-904-8859
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Provider Business Mailing Address
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Address Line | 14305 SW 150TH AVE
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City | MIAMI
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State | FL
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Zip | 33196-5607
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Country | US
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Telephone | 305-859-1533
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Fax | 786-904-8859
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Authorized Official
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Title or Position | PRESIDENT
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Name | CARLOS SAMADA
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Credential | DPM
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Telephone | 305-859-1533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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