| Eric B Samuel, MD | |
|
3840 Coconut Creek Pkwy, Coconut Creek, FL 33066-1617 | |
| (954) 580-8867 | |
| (954) 580-8942 |
| Full Name | Eric B Samuel |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 3840 Coconut Creek Pkwy, Coconut Creek, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013941939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 16383 (New Hampshire) | Secondary |
| 207Q00000X | Family Medicine | 277277 (Massachusetts) | Secondary |
| 207Q00000X | Family Medicine | 159879 (Florida) | Primary |
| Entity Name | Hallmark Health Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770563900 PECOS PAC ID: 4385638782 Enrollment ID: O20040409000006 |
| Entity Name | Mt Auburn Professional Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992750996 PECOS PAC ID: 6103725031 Enrollment ID: O20040527001374 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric B Samuel, MD 3840 Coconut Creek Pkwy, Coconut Creek, FL 33066-1617 Ph: (954) 580-8867 | Eric B Samuel, MD 3840 Coconut Creek Pkwy, Coconut Creek, FL 33066-1617 Ph: (954) 580-8867 |
Lee Brown, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3840 Coconut Creek Parkway, Coconut Creek, FL 33066 Phone: 954-580-8867 Fax: 954-580-8942 | |
Dr. Nelson Pereira, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1301 Lyons Rd, Coconut Creek, FL 33063 Phone: 954-971-2266 Fax: 305-461-5911 | |
Mrs. Berta Martinez-fortun, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3850 Coconut Creek Pkwy Ste 3, Coconut Creek, FL 33066 Phone: 954-973-9222 Fax: 954-973-7135 | |
Stephen W White, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3880 Coconut Creek Pkwy, #100, Coconut Creek, FL 33066 Phone: 954-973-9666 Fax: 954-978-6625 | |
Anissa Rodriguez, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5300 W Hillsboro Blvd, Coconut Creek, FL 33073 Phone: 954-725-4141 | |
Jenel L Watt, APRN Family Medicine Medicare: Medicare Enrolled Practice Location: 6944 Halton Park Ln, Coconut Creek, FL 33073 Phone: 954-614-8259 |