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Samuel Defigarelli I, MD
General Practice Physician in Lakeland, Florida
NPI 1083097406

Samuel Defigarelli I is a General Practice Physician based in Winter Haven, FL. Samuel Defigarelli I practices in Lakeland, FL and has the professional credentials of MD. The NPI Number for Samuel Defigarelli I is 1083097406 and holds a License No. ME149910 (Florida).

The current practice location address for Samuel Defigarelli I is 1129 N Missouri Ave, Lakeland, FL and can be reached out via phone at 866-234-8534.

Location: 1129 N Missouri Ave, Lakeland, FL, 33881-4672
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083097406
Provider Name
Samuel Defigarelli I
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1129 N Missouri Ave, Lakeland, FL, 33881-4672
Phone Number
866-234-8534
Fax Number
Provider Enumeration Date
07/02/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
117378300 05 FL
institution
Provider Business Practice Location Address Details
Address
1129 N Missouri Ave
City
Lakeland
State
Florida
Zip
33805-4411
Phone Number
866-234-8534
Fax Number
person
Provider Business Mailing Address Details
Address
1129 N Missouri Ave
City
Lakeland
State
Florida
Zip
33805-4411
Phone Number
866-234-8534
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
ME149910 (Florida)
Definition
Definition to come...
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