Bethel-Ellison, Samantha Joan

Bethel-Ellison, Samantha Joan is an individual health care provider with primary practice located at 13067 N Telecom Pkwy , Temple Terrace FL 33637-0926. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Bethel-Ellison, Samantha Joan can be contacted via phone (813) 779-6303.

Contact Information

Primary practice address
13067 N Telecom Pkwy Temple Terrace FL 33637-0926
Phone: (813) 779-6303
Fax: (888) 977-1998
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME137541 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME137541 Florida

Profile Details

NPI number 1275950297
LBN Legal business name Bethel-Ellison, Samantha Joan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2014
Last updated Oct 14th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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