Maddox, Samuel

Maddox, Samuel is an individual health care provider with primary practice located at 3400 Gulf To Bay Blvd , Clearwater FL 33759-4514. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant. Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant is his primary health care specialty. Maddox, Samuel can be contacted via phone (813) 574-5200.

Contact Information

Primary practice address
3400 Gulf To Bay Blvd Clearwater FL 33759-4514
Phone: (813) 574-5200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X AA776 Florida

Profile Details

NPI number 1568136083
LBN Legal business name Maddox, Samuel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2021
Last updated Mar 1st, 2024 - about 2 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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