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NPI Code Detail

MEDICARE: ANN MAY SAMUELS ARNP

MEDICARE: ANN MAY SAMUELS ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerARNP 3093122FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295056729
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN MAY SAMUELS ARNP
Provider Business Mailing Address
First Line : 16501 NW 2ND AVE
Second Line :
City : MIAMI
State : FL
Zip : 33169-6005
Country : US
Telephone Number : 305-354-4558
Fax Number : 305-354-3884
Provider Business Practice Location Address
First Line : 16501 NW 2ND AVE
Second Line :
City : MIAMI
State : FL
Zip : 33169-6005
Country : US
Telephone Number : 305-354-4558
Fax Number : 305-354-3884
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2010
Last Update Date : 06/18/2010

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