Gammenthaler, Sammy Arnold

Gammenthaler, Sammy Arnold is an individual health care provider with primary practice located at 1815 Salk Ave , Tavares FL 32778-4311. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Gammenthaler, Sammy Arnold can be contacted via phone (352) 343-1158.

Contact Information

Primary practice address
1815 Salk Ave Tavares FL 32778-4311
Phone: (352) 343-1158
Fax: (352) 343-8106
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 38340 North Carolina
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME108483 Florida
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 063196 Georgia

Profile Details

NPI number 1396747424
LBN Legal business name Gammenthaler, Sammy Arnold
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Mar 19th, 2015 - about 9 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 1396747424 NPPES
Florida MEDICAID 014122900
Florida MEDICAID 89127F2
Florida MEDICAID 908091490A
Florida Other 14H8K
Florida Other 127F2

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