Vijay Narayan Samant Md Pa | |
800 Sw 15th Street Boca Raton FL 33486-1340 | |
(561) 395-0737 | |
(561) 395-0766 |
Full Name | Vijay Narayan Samant Md Pa |
---|---|
Speciality | Internal Medicine |
Location | 800 Sw 15th Street, Boca Raton, Florida |
Authorized Official Name and Position | Vijay Narayan Samant (PRESIDENT) |
Authorized Official Contact | 5613950737 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Vijay Narayan Samant Md Pa Po Box 273444 Boca Raton FL 33427-3444 Ph: (561) 395-0737 | Vijay Narayan Samant Md Pa 800 Sw 15th Street Boca Raton FL 33486-1340 Ph: (561) 395-0737 |
NPI Number | 1336305804 |
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Provider Enumeration Date | 08/04/2008 |
Last Update Date | 05/04/2009 |
Medicare PECOS PAC ID | 3072681592 |
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Medicare Enrollment ID | O20081009000682 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336305804 | NPI | - | NPPES |
06882910 | Medicaid | FL | |
DO3251 | Other | GA | R/R MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | ME0043269 (Florida) | Primary |
Provider Name | Vijay N Samant |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1093874190 PECOS PAC ID: 1658449293 Enrollment ID: I20081008000831 |
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