Samson, Michel C

Samson, Michel C is an individual health care provider with primary practice located at 3635 S Clyde Morris Blvd Ste. 400, Port Orange FL 32129-2300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Samson, Michel C can be contacted via phone (386) 756-9400.

Contact Information

Primary practice address
3635 S Clyde Morris Blvd Ste. 400 Port Orange FL 32129-2300
Phone: (386) 756-9400
Fax: (386) 756-4338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X ME0079062 Florida

Profile Details

NPI number 1033179627
LBN Legal business name Samson, Michel C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Feb 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033179627 NPPES
Florida MEDICAID 259213400

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