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DR. SAMUEL KENNEY HOUSTON M.D.

>> Ophthalmology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1851533236

Individual Registrant:
DR. SAMUEL KENNEY HOUSTON M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1025 PRIMERA BLVD  LAKE MARY, FL 32746-2175 US
Tel: 407-333-1570  Fax: 407-333-1381

Contact information for business:
1025 PRIMERA BLVD  LAKE MARY, FL 32746-2175 US
Tel: 407-333-1570  Fax: 407-333-1381

Registration Information:
NPI: 1851533236
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207W00000XAllopathic & Osteopathic Physicians
Ophthalmology
FLME123038
N207WX0107X
FLME123038

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
015132500FL05




HEALTH CARE JOBS FL - Page 1



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