Most Relevant Information
Provider Data
| NPI Number: | 1003359324 |
| Provider Name: | EUNICE PRIYA JENNIFER SAMUEL |
| Entity Type: | Individual |
| Taxonomy Code: | 208100000X |
| Specialty: | Physical Medicine & Rehabilitation |
| License Number: | 4723 |
Most Important Dates
| Enumeration Date: | 11/18/2016 |
| Last Updated: | 11/18/2016 |
Provider Practice Location
1580 SAWGRS CORP PKWY STE 200
SUNRISE
FL
333232869
Practice Location Phone/Fax
| Phone: | 8433409325 |
| Fax: |
Provider Mailing Location
1580 SAWGRASS CORP PKWY SUITE 200
SUNRISE
FL
33323
Provider Mailing Phone/Fax
| Phone: | 8433409325 |
| Fax: |