Doctor Name: | RICHARD S SAMUELS |
NPI Number: | 1700995693 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME75613 |
Business Practice Address: | 1000 West Moreno Street Pensacola, FL - 325012316 |
Business Phone Number: | 8504364951 |
Business Fax Number: | 8504386767 |
Mailing Address: | Po Box 622047, ORLANDO |
State: | FL |
Postal Code: | 328622047 |
Phone Number: | 8504364951 |
Fax Number: | 8504386767 |
NPI Enumeration Date: | 08/30/2006 |
NPI Last Update Date: | 07/11/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | ME75613 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |