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Contact Information

THOMAS SAMUEL, MD
1150 N 35TH AVE
SUITE 135
HOLLYWOOD, FL33021-5424
 Phone: 954-265-3982
 Fax: 954-965-3599
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
Indicates primary specialty

NPI Profile & details for THOMAS SAMUEL · (Male)

NPI # 1194737171
Status Active
Credentials MD
Entity Individual
Enumeration date 08/11/2006
Last updated 03/26/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • FL License # 88672
  • FL Medicaid 268957000
Hospital affiliation(s)
  • MEMORIAL REGIONAL HOSPITAL - (Acute Care)
    3501 JOHNSON ST
    HOLLYWOOD, FL 33021
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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