Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MYLES RUBIN SAMOTIN, M.D.
Deactivated Sole ProprietorDR. MYLES RUBIN SAMOTIN, M.D. is a Sports Medicine (Orthopaedic) healthcare provider located in BONITA SPRINGS, Florida. NPI 1255330288 is deactivated in the NPPES registry. Verify at CMS.
Sports Medicine (Orthopaedic) · BONITA SPRINGS, FL
This NPI has been deactivated.
The record was deactivated on March 20, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1255330288
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 20, 2005 (0.66575342465753 yrs)
- Last Updated
- Jul 14, 2025
- Deactivated
- Mar 20, 2006
- License
-
ME0072517 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9240 BONITA BEACH RD SE STE 2200BONITA SPRINGS, FL, 341354251Browse FL providers · Browse ZIP 34135
- Phone
- 2395144200
- Fax
- 2395143373
- Primary Specialty
-
Sports Medicine (Orthopaedic)
207XX0004X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.