Samson, Michel C
Samson, Michel C is an individual health care provider with primary practice located at 3635 S Clyde Morris Blvd Ste. 400, Port Orange FL 32129-2300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Samson, Michel C can be contacted via phone (386) 756-9400.Contact Information
Primary practice address
3635 S Clyde Morris Blvd Ste. 400
Port Orange FL 32129-2300
Phone: (386) 756-9400
Fax: (386) 756-4338
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | ME0079062 | Florida |
Profile Details
NPI number | 1033179627 |
---|---|
LBN Legal business name | Samson, Michel C |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 27th, 2006 |
Last updated | Feb 8th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1033179627 | NPPES |
Florida | MEDICAID | 259213400 |
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