Dr. Sam, Inc. | |
12651 S Dixie Hwy Suite 327 Miami FL 33156-5975 | |
(786) 299-7548 | |
(305) 253-3078 |
Full Name | Dr. Sam, Inc. |
---|---|
Speciality | Counselor - Mental Health |
Location | 12651 S Dixie Hwy, Miami, Florida |
Authorized Official Name and Position | Samuel Lopez De Victoria (OWNER/DIRECTOR) |
Authorized Official Contact | 7862997548 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dr. Sam, Inc. 12651 S. Dixie Hwy Suite 327 Miami FL 33156-5964 Ph: (786) 299-7548 | Dr. Sam, Inc. 12651 S Dixie Hwy Suite 327 Miami FL 33156-5975 Ph: (786) 299-7548 |
NPI Number | 1922424712 |
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Provider Enumeration Date | 03/17/2014 |
Last Update Date | 03/17/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922424712 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MH9101 (Florida) | Primary |
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