Dejesus, Samuel
Dejesus, Samuel is an individual health care provider with primary practice located at 32 W Gore St Ste 204 , Orlando FL 32806-1134. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Dejesus, Samuel can be contacted via phone (407) 649-6884.Contact Information
Primary practice address
32 W Gore St Ste 204
Orlando FL 32806-1134
Phone: (407) 649-6884
Fax: (407) 245-7059
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | ME78134 | Florida |
Profile Details
NPI number | 1497757645 |
---|---|
LBN Legal business name | Dejesus, Samuel |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 1st, 2005 |
Last updated | Aug 25th, 2022 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1497757645 | NPPES |
Florida | MEDICAID | 259597400 |
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