DR. ANGELA MARY-RIAD SAMUEL M.D. - NPI 1043657968

Q: What is Angela Samuel's NPI number?

The NPI number for Angela Samuel is 1043657968. It was assigned to this individual provider in the NPPES registry on June 1, 2013.

Q: What is Angela Samuel's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Angela Samuel was last updated on July 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Angela Mary-riad Samuel M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANGELA MARY-RIAD SAMUEL M.D. (NPI 1043657968) is an individual pediatrics provider in Plantation, Florida, licensed in Florida (ME133485) and active in the NPI registry since June 2013. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1043657968

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. ANGELA MARY-RIAD SAMUELCredential: M.D.

Location Address9611 W BROWARD BLVDPlantation, FL 33324-2334

Mailing Address11260 Sullivan StRiverview, FL 33578-2140 · (813) 689-7571

Phone(954) 424-7000

Sole ProprietorNo

Enumeration DateJune 1, 2013

Last NPPES UpdateJuly 6, 20234 updates tracked since enumeration

NPPES CertifiedJuly 6, 2023

✔ NPI 1043657968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in FL · ME133485✔ Licensed in IL · 125-062979

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

9611 W BROWARD BLVD, Plantation, FL 33324

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Secondary Practice Locations 3

Location 110710 State Road 54 Ste 108Trinity, FL 34655-2263 · Phone (727) 376-4040

Location 211260 Sullivan StRiverview, FL 33578-2140 · Phone (813) 689-7571

Location 34972 Town Center Pkwy Unit 301Jacksonville, FL 32246-8596 · Phone (904) 642-6100

Other Identifiers 1

Medicaid101269100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANNA STEPHEN MD

Pediatrics