Giles, Samuel

Giles, Samuel is an sole proprietor health care provider with primary practice located at 1680 The Greens Way Ste 200 , Jacksonville Beach FL 32250-1422. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Giles, Samuel can be contacted via phone (904) 800-7380.

Contact Information

Primary practice address
1680 The Greens Way Ste 200 Jacksonville Beach FL 32250-1422
Fax: (904) 467-8932
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 264120 Massachusetts
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME140449 Florida

Profile Details

NPI number 1427430370
LBN Legal business name Giles, Samuel
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2015
Last updated Jul 15th, 2024 - about 2 months 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 1427430370 NPPES
Florida MEDICAID 103365500

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