MR. Samuel Small I
NPI #1568914174 in Jacksonville, Florida
Provider Information
- NPI Number
- 1568914174
- Entity Type
- Individual
- Name
- MR. Samuel Small I
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Oct 30, 2016
- Last Updated
- Oct 30, 2016
Practice Location
- Address
- 3606 JACOB LOIS DR
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32218-2970
- Phone
- (904) 483-1870
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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