HEATHER MARIE SAMUELSON


Address: 302 W Fletcher Ave, Tampa, FL 33612
Phone: 8132726240

HEATHER MARIE SAMUELSON (NPI# 1710270426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710270426
Entity Type Individual
Full Name HEATHER MARIE SAMUELSON
Credential M.D.
Practice Address 302 W Fletcher Ave
Tampa
FL 33612
Mailing Address 700 8th Ave W Ste 101
Palmetto
FL 34221-4737
Practice Telephone 8132726240
Mailing Telephone 9417764000
Enumeration Date 2011-05-27
Last Update Date 2020-02-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine ME124557 FL Allopathic & Osteopathic Physicians
N 208000000X Pediatrics ME124557 FL Allopathic & Osteopathic Physicians

Office Location

Street Address 302 W FLETCHER AVE
City TAMPA
State FL
Zip Code 33612

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942246210 David Leopoldo Lopez Pediatrics 302 W Fletcher Ave, Tampa, FL 33612 2006-06-22
1285244541 Ericka Danielle Gray Dentist 302 W Fletcher Ave, Tampa, FL 33612-3415 2020-08-03
1144863069 America Delgado Nurse Practitioner 302 W Fletcher Ave, Tampa, FL 33612-3415 2019-10-23
1235780537 Nicolle A Abelow Nurse Practitioner 302 W Fletcher Ave, Tampa, FL 33612-3415 2019-09-27
1336792464 Diana Gonzalez Nurse Practitioner 302 W Fletcher Ave, Tampa, FL 33612-3415 2019-07-18
1851863872 Tiara Ross Nurse Practitioner 302 W Fletcher Ave, Tampa, FL 33612-3415 2019-01-02
1861987752 Simona Ivanov Dentist 302 W Fletcher Ave, Tampa, FL 33612 2018-06-25
1396237400 Amanda Lape Nurse Practitioner 302 W Fletcher Ave, Tampa, FL 33612-3415 2018-06-04
1558866939 Jeanie Marie Menendez Nurse Practitioner 302 W Fletcher Ave, Tampa, FL 33612-3415 2018-03-27
1649771239 Lakeshia Wynn Nurse Practitioner 302 W Fletcher Ave, Tampa, FL 33612-3415 2018-02-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689286767 Daniel Jimenez Physical Therapist 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 2020-08-19
1700426830 Taz Stacy Behavior Technician 2701 University Square Drive, Tampa, FL 33612 2020-01-07
1841853215 Eric Austen Keeler Student in an Organized Health Care Education/Training Program 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 2019-04-20
1346700242 Caitlyn Victoria Cartwright Student in an Organized Health Care Education/Training Program 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 2019-03-25
1720552953 Marijo Bilitski Student in an Organized Health Care Education/Training Program 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 2019-01-22
1790259190 Belkis Aleman Nurse Practitioner 205 E Busch Blvd, Tampa, FL 33612 2019-01-18
1811469133 Stephanie Stegner Physician Assistant 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 2018-12-27
1053889857 Alysia Heather Siegel Psychologist 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 2018-11-09
1295202489 Daisy Baby Pulinilkumkalayil Nurse Practitioner 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 2018-10-26
1649745258 Rachel Rene Shelton Specialist/Technologist Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 2018-10-10
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912519224 Health & Glow Primary Care & Med Spa LLC Internal Medicine 4331 S Manhattan Ave, Tampa, FL 33611 2020-08-18
1326665779 Complete Integrative Medical Clinic, LLC. Internal Medicine 2835 W De Leon St Ste 102, Tampa, FL 33609-4130 2020-07-01
1649807553 Physician Partners Associated, LLC Internal Medicine 4704 N Armenia Ave, Tampa, FL 33603-2619 2020-03-23
1417583956 William F Mcgrogan Md Pllc Internal Medicine 2919 W Swann Ave Ste 402, Tampa, FL 33609-4083 2020-03-17
1679120471 Printha Md Internal Medicine Inc Internal Medicine 5420 Webb Rd Ste B1, Tampa, FL 33615-3255 2019-08-26
1184185001 A Plus Medcare LLC Internal Medicine 7211 N Dale Mabry Hwy Ste 100, Tampa, FL 33614-2669 2019-03-26
1770040685 Skalan LLC Internal Medicine 14917 Smitter Reserve Dr, Tampa, FL 33618-2205 2019-02-27
1720545981 Amante Medical and Diabetic Center, P.a. Internal Medicine 1001 N Macdill Ave. Suite B, Tampa, FL 33607 2019-02-25
1568926038 Karadayi Health Inc Internal Medicine 2916 W Bayshore Ct, Tampa, FL 33611-2808 2019-01-29
1881178242 Angel Medical Clinic, LLC Internal Medicine 8001 N Dale Mabry Hwy Ste 701, Tampa, FL 33614-3218 2018-09-21
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City TAMPA
Zip Code 33612

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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