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Leelamma Samuel

NPI 1295120988 · on the registry since 2015 · sole proprietor

Practice

Address
10754 Sw 17th Pl
Davie, FL 33324
Phone
(954) 873-5005

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-03-31

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