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JACOB A SAMANDER MD PA NPI 1356580567


NPI Information

NPI: 1356580567
Provider Name: JACOB A SAMANDER MD PA
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
1401 SE GOLDTREE DR
STE 104
PORT ST LUCIE, FL
ZIP 34952
Phone: (772) 905-8531
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JACOB A SAMANDER MD PA is a psychiatry psychiatry neurology in Port St Lucie, FL. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. JACOB A SAMANDER MD PA NPI is 1356580567. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1401 SE GOLDTREE DR
STE 104
PORT ST LUCIE, FL
ZIP 34952-584
Phone: (772) 905-8531
Fax: (772) 905-8526

The provider's authorized official is Jacob A Samander .
The authorized official title is Owner and has the following contact phone number (772) 905-8531.

The enumeration date for this NPI number is 2/11/2009 and was last updated on 7/29/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatryME0063339FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G11395MEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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