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Dr. Samantha R Avery, DO
Cardiovascular Disease Physician in South Pasadena, Florida
NPI 1215178090

Samantha R Avery is a Cardiovascular Disease Physician based in South Pasadena, FL and is specialized in Cardiovascular Disease. Samantha R Avery practices in South Pasadena, FL and has the professional credentials of DO. The NPI Number for Samantha R Avery is 1215178090 and holds a License No. (Florida).

The current practice location address for Samantha R Avery is 1615 Pasadena Ave S Ste 300, South Pasadena, FL and can be reached out via phone at 277-490-3030.

Location: 1615 Pasadena Ave S Ste 300, South Pasadena, FL, 33707-4567
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215178090
Provider Name
Samantha R Avery
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
1615 Pasadena Ave S Ste 300, South Pasadena, FL, 33707-4567
Phone Number
277-490-3030
Fax Number
Provider Enumeration Date
03/09/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HT787Z 01 FL MEDICARE ID-TYPE UNSPECIFIED
institution
Provider Business Practice Location Address Details
Address
1615 Pasadena Ave S Ste 300
City
South Pasadena
State
Florida
Zip
33707-4567
Phone Number
277-490-3030
Fax Number
person
Provider Business Mailing Address Details
Address
1615 Pasadena Ave S Ste 300
City
South Pasadena
State
Florida
Zip
33707-4567
Phone Number
277-490-3030
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
OS 11371 (Florida)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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