Search › Florida › 363A00000X
Samuel Joseph, PA-C, MD
NPI 1588288203 · on the registry since 2020 · sole proprietor
Practice
- Address
- 4601 N Highway 19a
Mount Dora, FL 32757 - Phone
- (352) 602-7924
- Fax
- (754) 206-2394
- Organisation at this address
- Fernhill Family Medicine Llc
Alina Community Center At Mount Dora Llc
Alina Community Center At Mount Dora LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Additional practice sites
- 22730 Sw 55th Ave, Boca Raton, FL
- 6739 W Cactus Rd, Peoria, AZ
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 207Q00000X
208600000X
208D00000X
363A00000X - Licence states on file
- FL, IL, PR, AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-06
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