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General NPI Number Information
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NPI Number | 1730222662
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Entity Type | Organization
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Legal Business Name | MYLES RUBIN SAMOTIN MD PA
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 9240 BONITA BEACH RD SE STE 2200
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-4251
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Country | US
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Telephone | 239-514-4200
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Fax | 239-514-3373
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Provider Business Mailing Address
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Address Line | 9240 BONITA BEACH RD SE STE 2200
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-4251
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Country | US
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Telephone | 239-514-4200
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Fax | 239-514-3373
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MYLES RUBIN SAMOTIN
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Credential | M.D.
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Telephone | 239-514-4200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number |
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License Number State |
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