Samuel, Abie Alias

Samuel, Abie Alias is an individual health care provider with primary practice located at 620 10Th St N , St Petersburg FL 33705-1407. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. Samuel, Abie Alias can be contacted via phone (727) 824-8325.

Contact Information

Primary practice address
620 10Th St N St Petersburg FL 33705-1407
Phone: (727) 824-8325
Fax: (727) 824-8347
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X OS11459 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS11459 Florida

Profile Details

NPI number 1720287659
LBN Legal business name Samuel, Abie Alias
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2007
Last updated Nov 30th, 2016 - about 10 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 1720287659 NPPES
Florida MEDICAID 004276600

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