Dr. Samuel Dejesus, MD
Colon & Rectal Surgery in Orlando, FL. Individual provider (NPI-1).
NPI number1497757645
StatusActive
Last updated in NPPESAug 25, 2022
Details
- NPI
- 1497757645
- Entity type
- Individual (NPI-1)
- Name
- Dr. Samuel Dejesus
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 1, 2005
- Certification date
- Aug 25, 2022
- Last updated
- Aug 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208C00000X | Colon & Rectal Surgery | ME78134 | FL | Yes |
Practice location
32 W Gore St Ste 204Orlando, FL 32806-1134
Phone 407-649-6884 · Fax 407-245-7059
Mailing address
32 W Gore St Ste 204Orlando, FL 32806-1134
Phone 407-649-6884 · Fax 407-245-7059
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