New, Samuel Brandon

New, Samuel Brandon is an individual health care provider with primary practice located at 400 Colonnade Dr Ste 230 , Ponte Vedra FL 32081-6237. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. New, Samuel Brandon can be contacted via phone (904) 640-8249.

Contact Information

Primary practice address
400 Colonnade Dr Ste 230 Ponte Vedra FL 32081-6237
Phone: (904) 640-8249
Fax: (904) 640-8250
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME122658 Florida

Profile Details

NPI number 1275823312
LBN Legal business name New, Samuel Brandon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2011
Last updated Jun 23rd, 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 1275823312 NPPES
Florida MEDICAID 015224200

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