Samuel, Abie Alias
Samuel, Abie Alias is an individual health care provider with primary practice located at 620 10Th St N , St Petersburg FL 33705-1407. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. Samuel, Abie Alias can be contacted via phone (727) 824-8325.Contact Information
Primary practice address
620 10Th St N
St Petersburg FL 33705-1407
Phone: (727) 824-8325
Fax: (727) 824-8347
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | OS11459 | Florida |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | OS11459 | Florida |
Profile Details
| NPI number | 1720287659 |
|---|---|
| LBN Legal business name | Samuel, Abie Alias |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2007 |
| Last updated | Nov 30th, 2016 - about 8 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 | 1720287659 | NPPES |
| Florida | MEDICAID | 004276600 |
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