Doctor Name: | SAMUEL BRANDON NEW |
NPI Number: | 1275823312 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | ME122658 |
Business Practice Address: | 14546 Old Saint Augustine Rd Suite 311 Jacksonville, FL - 322585468 |
Business Phone Number: | 9042602255 |
Business Fax Number: | 9042602251 |
Mailing Address: | Po Box 16568, Suite 105 JACKSONVILLE |
State: | FL |
Postal Code: | 322456568 |
Phone Number: | 9044722300 |
Fax Number: | 9044722330 |
NPI Enumeration Date: | 04/11/2011 |
NPI Last Update Date: | 11/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | ME122658 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |