| Vijay Narayan Samant Md Pa | |
|
800 Sw 15th Street Boca Raton FL 33486-1340 | |
| (561) 395-0737 | |
| (561) 395-0766 |
| Full Name | Vijay Narayan Samant Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 800 Sw 15th Street, Boca Raton, Florida |
| Authorized Official Name and Position | Vijay Narayan Samant (PRESIDENT) |
| Authorized Official Contact | 5613950737 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vijay Narayan Samant Md Pa Po Box 273444 Boca Raton FL 33427-3444 Ph: (561) 395-0737 | Vijay Narayan Samant Md Pa 800 Sw 15th Street Boca Raton FL 33486-1340 Ph: (561) 395-0737 |
| NPI Number | 1336305804 |
|---|---|
| Provider Enumeration Date | 08/04/2008 |
| Last Update Date | 05/04/2009 |
| Medicare PECOS PAC ID | 3072681592 |
|---|---|
| Medicare Enrollment ID | O20081009000682 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336305804 | NPI | - | NPPES |
| 06882910 | Medicaid | FL | |
| DO3251 | Other | GA | R/R MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | ME0043269 (Florida) | Primary |
| Provider Name | Vijay N Samant |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1093874190 PECOS PAC ID: 1658449293 Enrollment ID: I20081008000831 |
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