person
Glorimar Gonzalez Samot, MD
General Practice Physician in Brandon, Florida
NPI 1700111614

Glorimar Gonzalez Samot is a General Practice Physician based in Lakeland, FL. Glorimar Gonzalez Samot practices in Brandon, FL and has the professional credentials of MD. The NPI Number for Glorimar Gonzalez Samot is 1700111614 and holds a License No. 17491 (Florida).

The current practice location address for Glorimar Gonzalez Samot is 675 S Kings Ave Ste 101, Brandon, FL and can be reached out via phone at 813-588-5123 and via fax at 863-646-9664. You can also correspond with Glorimar Gonzalez Samot through the mailing address at PO BOX 5618, LAKELAND, FL - 33807-5618 (mailing address contact number: 813-588-5123).

Location: 675 S Kings Ave Ste 101, Brandon, FL, 33807-5618
person
Provider Profile Details
NPI Number
1700111614
Provider Name
Glorimar Gonzalez Samot
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
675 S Kings Ave Ste 101, Brandon, FL, 33807-5618
Phone Number
813-588-5123
Fax Number
863-646-9664
Provider Enumeration Date
10/09/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ACN784 01 FL MEDICAL LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
675 S Kings Ave Ste 101
City
State
Zip
33511-6048
Phone Number
813-588-5123
Fax Number
863-646-9664
person
Provider Business Mailing Address Details
Address
675 S Kings Ave Ste 101
City
State
Zip
33511-6048
Phone Number
813-588-5123
Fax Number
863-646-9664
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
17491 ()
Definition
Definition to come...
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