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NPI Code Detail

MEDICARE: THOMAS SAMUEL MD

MEDICARE: THOMAS SAMUEL MD
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
1207RX0202XMedical Oncology PhysicianMD 417495PA
2207RX0202XMedical Oncology Physician057014GA
3207RX0202XMedical Oncology PhysicianME112945FL

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 : 1831187947
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS SAMUEL MD
Provider Business Mailing Address
First Line : 2950 CLEVELAND CLINIC BLVD
Second Line :
City : WESTON
State : FL
Zip : 33331-3609
Country : US
Telephone Number : 954-659-5840
Fax Number : 954-659-5810
Provider Business Practice Location Address
First Line : 2950 CLEVELAND CLINIC BLVD
Second Line :
City : WESTON
State : FL
Zip : 33331-3609
Country : US
Telephone Number : 954-659-5840
Fax Number : 954-659-5810
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2005
Last Update Date : 01/08/2014

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