Samuels, Mitchell J.

Samuels, Mitchell J. is an individual health care provider with primary practice located at 4651 Sheridan St. Suite #270, Hollywood FL 33021-3422. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Samuels, Mitchell J. can be contacted via phone (954) 989-6000.

Contact Information

Primary practice address
4651 Sheridan St. Suite #270 Hollywood FL 33021-3422
Phone: (954) 989-6000
Fax: (954) 378-4775
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 085015 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OS5015 Florida

Profile Details

NPI number 1134121585
LBN Legal business name Samuels, Mitchell J.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Nov 10th, 2008 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1134121585 NPPES
Florida MEDICAID 049296500

Popular Providers