Mietling, Samuel W.

Mietling, Samuel W. is an individual health care provider with primary practice located at 2416 Dunn Avenue , Jacksonville FL 32218-1015. He recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Mietling, Samuel W. can be contacted via phone (904) 353-3664.

Contact Information

Primary practice address
2416 Dunn Avenue Jacksonville FL 32218-1015
Phone: (904) 353-3664
Fax: (904) 353-3858
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 051686 Georgia
Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging 2085D0003X 051686 Georgia
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 051686 Georgia
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 051686 Georgia
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X 051686 Georgia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 051686 Georgia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME49311 Florida
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X ME49311 Florida
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X 051686 Georgia
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 051686 Georgia

Profile Details

NPI number 1750347589
LBN Legal business name Mietling, Samuel W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated May 23rd, 2024 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1750347589 NPPES
Georgia MEDICAID 00952795C
Georgia MEDICAID 00952795A
Georgia MEDICAID 00952795B
Georgia Other 1346357217
Georgia Other 83555
Georgia MEDICAID G51686

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