| Jacob A Samander Md Pa | |
|
1401 Se Goldtree Dr Ste 104 Port St Lucie FL 34952-7584 | |
| (772) 905-8531 | |
| (772) 905-8526 |
| Full Name | Jacob A Samander Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1401 Se Goldtree Dr, Port St Lucie, Florida |
| Authorized Official Name and Position | Jacob A Samander (OWNER) |
| Authorized Official Contact | 7729058531 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob A Samander Md Pa Po Box 882076 Port St Lucie FL 34988-2076 Ph: (772) 905-8531 | Jacob A Samander Md Pa 1401 Se Goldtree Dr Ste 104 Port St Lucie FL 34952-7584 Ph: (772) 905-8531 |
| NPI Number | 1356580567 |
|---|---|
| Provider Enumeration Date | 02/11/2009 |
| Last Update Date | 07/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356580567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME0063339 (Florida) | Primary |
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