Samson, Rogelio D

Samson, Rogelio D is an individual health care provider with primary practice located at 14 W Jordan St , Pensacola FL 32501-1736. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Samson, Rogelio D can be contacted via phone (850) 436-4630.

Contact Information

Primary practice address
14 W Jordan St Pensacola FL 32501-1736
Phone: (850) 436-4630
Fax: (850) 436-2095
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME28252 Florida

Profile Details

NPI number 1578561221
LBN Legal business name Samson, Rogelio D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Jan 24th, 2017 - about 8 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 1578561221 NPPES
Florida MEDICAID 066410300

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