NPI | 1144704073 |
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Doing Business As | SAMARA HOME DOCTOR SERVICES, LLC |
Entity Type | Organization |
Authorized Contact | JUDITH FAUSTIN Medical Director 321-200-4489 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2018-09-17 |
Last Update Date | 2020-06-04 |