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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. SAMUEL SMALL I

Active Sole Proprietor

MR. SAMUEL SMALL I is a Community/Behavioral Health healthcare provider located in JACKSONVILLE, Florida. NPI 1568914174 is currently active in the NPPES registry. Verify at CMS.

Community/Behavioral Health · JACKSONVILLE, FL

Registration Details

NPI Number
1568914174
Provider Type
Individual
Gender
Male
NPI Issued
Oct 30, 2016 (9.830579903738 yrs)
Last Updated
Oct 30, 2016
Sole Proprietor
Yes

Practice Information

Address
3606 JACOB LOIS DR
JACKSONVILLE, FL, 322182970
Browse FL providers · Browse ZIP 32218
Phone
9044831870
Primary Specialty
Community/Behavioral Health
251S00000X

Other Community/Behavioral Health Providers in JACKSONVILLE, FL

Name Credential NPI
HARRIETTE GARDNER 1366645673
WILLIAM JOSEPH SLATTERY 1962781393
BEATRICE E HALL 1902182447
CHRIS TOBEY 1871987651
TYLER OLSEN 1295196467
EIRC MAYNARD 1861849556
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.