Sam Stieglitz Mdpa

NPI 1134135965 - Dermatology - 207N00000X

NPI Details
NPI 1134135965
Enumeration Date 08/01/2006
Last Updated 11/07/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SAM SAM
Position PRESIDENT
Phone (727) 461-4600
Fax (727) 461-7330
Practice Location
1305 SOUTH FORT HARRISON AVE
BLDG A
CLEARWATER FL, 33756-3301, US
Phone (727) 461-4600
Fax (727) 461-7330
Business Location
1305 SOUTH FORT HARRISON AVE
BLDG A
CLEARWATER FL, 33756-3301, US
Phone (727) 461-4600
Fax (727) 461-7330
Toxanomy
Taxonomy Code 207N00000X
License State Florida
License Number ME33707
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According to our database, Sam Stieglitz Mdpa NPI is 1134135965, taxonomy code is 207N00000X and license number is ME33707, license state is located at Florida. Sam Stieglitz Mdpa physically located at 1305 South Fort Harrison Ave, Clearwater FL, 33756-3301. NPI Number 1033115704 has the healthcare provider type.

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1134135965 NPI number is provided on an as is basis without warranty of any kind. 1134135965 is maintained by the National Plan & Provider Enumeration System. The contents of Sam Stieglitz Mdpa are for informational purposes only.