Search › Florida › 183500000X

Thavory Samoeun

NPI 1053283119 · on the registry since 2025 · sole proprietor

Practice

Address
22 Fremont Ave
Saint Augustine, FL 32095
Phone
(904) 412-6549

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-09-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida