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General NPI Number Information
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NPI Number | 1427691989
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Entity Type | Organization
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Legal Business Name | SAMUELS PEDIATRICS FLORIDA, PLLC
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Dates
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Enumeration Date | 10/28/2019
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Last Update Date | 05/13/2020
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Provider Practice Location Address
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Address Line | 14505 COMMERCE WAY STE 800
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City | MIAMI LAKES
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State | FL
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Zip | 33016-1599
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Country | US
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Telephone | 954-412-2026
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Fax |
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Provider Business Mailing Address
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Address Line | 9065 WATERCREST CIR E
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City | PARKLAND
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State | FL
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Zip | 33076-2850
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Country | US
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Telephone | 954-412-2026
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARTEL SAMUELS
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Credential | MD
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Telephone | 954-412-2026
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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