Blick, Samuel Smith

Blick, Samuel Smith is an individual health care provider with primary practice located at 25 W Crystal Lake St Suite 200, Orlando FL 32806-4475. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Blick, Samuel Smith can be contacted via phone (407) 254-2500.

Contact Information

Primary practice address
25 W Crystal Lake St Suite 200 Orlando FL 32806-4475
Phone: (407) 254-2500
Fax: (407) 423-9512
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X ME0062664 Florida

Profile Details

NPI number 1316918246
LBN Legal business name Blick, Samuel Smith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Jan 29th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1316918246 NPPES
Florida MEDICAID 3T1121800

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