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1174520134
SAMUEL T RICHBOURG
ORLANDO, FL
NPI
1174520134
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: FL ME41914)
Enumeration Date
2005-07-06
Last Update Date
2008-01-21
Business Address
-- SAMUEL T RICHBOURG M.D.
601 E ROLLINS ST
ORLANDO, FL 32803-1248
Phone number: 407-303-1944
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Mailing Address
-- SAMUEL T RICHBOURG M.D.
PO BOX 150505
ALTAMONTE SPRINGS, FL 32715-0505
Phone number: 407-767-0433
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