Joseph, Samuel
Joseph, Samuel is an sole proprietor health care provider with primary practice located at 4601 N Highway 19A , Mount Dora FL 32757-2039. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Joseph, Samuel can be contacted via phone (352) 602-7924.Contact Information
Primary practice address
4601 N Highway 19A
Mount Dora FL 32757-2039
Phone: (352) 602-7924
Fax: (754) 206-2394
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | HSE32842 | Florida |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 238000625 | Illinois |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | TPPA373 | Puerto Rico |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | TPPA373 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 9733 | Arizona |
Profile Details
| NPI number | 1588288203 |
|---|---|
| LBN Legal business name | Joseph, Samuel |
| Credentials | PA-C, MD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 29th, 2020 |
| Last updated | Jul 6th, 2023 - 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.
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