Male or Other

Samuel Pierrelouis

Community/Behavioral Health Agency in Orlando, FL(View on Map)

Full Name

Samuel Pierrelouis

NPI Number

1487105227

NPI Type

Individual Provider

Gender

Male

Enumeration Date

10/17/2016

Specialties

(Taxonomies)

Code

251S00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

2632

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 617474
3708 CONWAY RD

City

Orlando
Orlando

State

FL
FL

Postal Code

32861-7474
32812-7608

Country

US
US

Telephone Number

(310) 292-2830
(310) 292-2830

Identifiers

Identifier

004840900

Identifier State

FL

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/17/2016

Provider Address

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