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General NPI Number Information
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NPI Number | 1801355698
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Entity Type | Individual
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Provider Name | SAMUEL EDWARD CALABRIA DO
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Gender | Male
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Dates
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Enumeration Date | 03/19/2019
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 2400 FEATHER SOUND DR APT 1111
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City | CLEARWATER
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State | FL
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Zip | 33762-3095
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Country | US
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Telephone | 177-560-5447
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Fax |
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Provider Business Mailing Address
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Address Line | 2995 DREW ST
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City | CLEARWATER
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State | FL
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Zip | 33759-3012
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Country | US
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Telephone | 727-315-7496
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 101628
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | DO210011731
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | OS21450
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License Number State | FL
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