Maples, Sammy Dallas
Maples, Sammy Dallas is an sole proprietor health care provider with primary practice located at 357 Coldeway Dr , Punta Gorda FL 33950-5285. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Maples, Sammy Dallas can be contacted via phone (405) 708-3465.Contact Information
Primary practice address
357 Coldeway Dr
Punta Gorda FL 33950-5285
Phone: (405) 708-3465
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | PS49820 | Florida |
Profile Details
| NPI number | 1033456652 |
|---|---|
| LBN Legal business name | Maples, Sammy Dallas |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 16th, 2013 |
| Last updated | Jan 16th, 2013 - about 13 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 | 1033456652 | NPPES |
| Florida | Other | PS49820 | STATE LICENSE |
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