Maples, Sammy Dallas

Maples, Sammy Dallas is an sole proprietor health care provider with primary practice located at 357 Coldeway Dr , Punta Gorda FL 33950-5285. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Maples, Sammy Dallas can be contacted via phone (405) 708-3465.

Contact Information

Primary practice address
357 Coldeway Dr Punta Gorda FL 33950-5285
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PS49820 Florida

Profile Details

NPI number 1033456652
LBN Legal business name Maples, Sammy Dallas
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2013
Last updated Jan 16th, 2013 - about 11 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 1033456652 NPPES
Florida Other PS49820 STATE LICENSE

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