Lederman, Samuel N

Lederman, Samuel N is an sole proprietor health care provider with primary practice located at 4671 S Congress Ave Suite 100 B, Lake Worth FL 33461-4783. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Lederman, Samuel N can be contacted via phone (561) 434-0111.

Contact Information

Primary practice address
4671 S Congress Ave Suite 100 B Lake Worth FL 33461-4783
Fax: (561) 434-4868
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME60019 Florida

Profile Details

NPI number 1124131230
LBN Legal business name Lederman, Samuel N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2006
Last updated Jun 22nd, 2023 - about last year

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 1124131230 NPPES
Florida MEDICAID 371772100
Florida Other LN213

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