Saint Fleur, Samson
Saint Fleur, Samson is an sole proprietor health care provider with primary practice located at 12550 Biscayne Blvd Ste 100 , North Miami FL 33181-2536. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Saint Fleur, Samson can be contacted via phone (305) 534-0076.Contact Information
Primary practice address
12550 Biscayne Blvd Ste 100
North Miami FL 33181-2536
Phone: (305) 534-0076
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9109823 | Florida |
Profile Details
| NPI number | 1144771080 |
|---|---|
| LBN Legal business name | Saint Fleur, Samson |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 15th, 2016 |
| Last updated | Sep 10th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144771080 | NPPES |
| Florida | MEDICAID | 104948100 | |
| Florida | Other | LR224 |
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