Samter, Jordan David

Samter, Jordan David is an individual health care provider with primary practice located at 10549 N Florida Ave Suite B, Tampa FL 33612-6707. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Samter, Jordan David can be contacted via phone (813) 978-1522.

Contact Information

Primary practice address
10549 N Florida Ave Suite B Tampa FL 33612-6707
Phone: (813) 978-1522
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME53093 Florida

Profile Details

NPI number 1144218363
LBN Legal business name Samter, Jordan David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Jan 13th, 2011 - about 15 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 1144218363 NPPES
Florida Other 193315 HEALTHEASE
Florida Other 193315 HEALTHEASE
Florida Other 9841 HEALTHEASE
Florida Other 593618517 HEALTHEASE
Florida Other 4950862005 HEALTHEASE
Florida Other 2064658 HEALTHEASE
Florida Other 206926 HEALTHEASE
Florida Other 247082 HEALTHEASE
Florida MEDICAID 252231400 HEALTHEASE
Florida Other 593618517 HEALTHEASE

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