Kwon, Samantha Eileen

Kwon, Samantha Eileen is an individual health care provider with primary practice located at 1500 Sw 1St Ave , Ocala FL 34471-6504. She recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as her primary health care specialty. Kwon, Samantha Eileen can be contacted via phone (352) 369-0288.

Contact Information

Primary practice address
1500 Sw 1St Ave Ocala FL 34471-6504
Phone: (352) 369-0288
Fax: (352) 867-1053
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 39047 South Carolina
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X ME96761 Florida

Profile Details

NPI number 1891802526
LBN Legal business name Kwon, Samantha Eileen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Feb 6th, 2018 - about 7 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 1891802526 NPPES
North Carolina MEDICAID 1891802526

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