Dr. Samuel Santelices
MD | Pediatric Adolescent Medicine | Male
Dr. Samuel Santelices, MD is a Lake City, Florida based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Samuel Santelices is
1859 Sw Newland Way, Lake City, Florida - 32025-6966. He can be contacted on phone at
386-758-0003 and fax number 386-755-7940.
Dr. Samuel Santelices is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Samuel Santelices is
1669476552 which was assigned by NPPES on 08 Jun, 2005 and it was last updated on 24 Jan, 2017.
Dr. Samuel Santelices license number is
ME87551 for Pediatrics Adolescent Medicine (2080A0000X) in Florida.
Dr. Samuel Santelices specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Samuel Santelices basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Dr. Samuel Santelices |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Samuel Santelices address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1859 Sw Newland Way
Lake City, FL, 32025-6966
United States |
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| Phone Number : | 386-758-0003 |
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| Fax Number : | 386-755-7940 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1669476552 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 08 Jun, 2005 |
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| Last Updated On : | 24 Jan, 2017 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Samuel Santelices are as mentioned. Primary taxonomy code for Dr. Samuel Santelices, MD is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | ME87551 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Samuel Santelices such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 267374600 | MEDICAID | FL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1859 Sw Newland Way
Lake City, FL, 32025-6966
United States |
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| Phone Number : | 386-758-0003 |
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| Fax Number : | 386-755-7940 |
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Business Location:
Patients can refer following map for directions to
Dr. Samuel Santelices practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.