Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | ME0072517 | FL |
NPI | 1255330288 |
---|---|
Provider Name | Dr. Myles Rubin Samotin |
First Address | Naples, FL 34108-1869 |
Second Address | Naples, FL 34108-1869 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2005 |
Last Update Date | 10/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G50737 | (02) | FL |