Provider Demographics
NPI:1154457398
Name:SAUMELL, FRANKLIN DANIEL (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANKLIN
Middle Name:DANIEL
Last Name:SAUMELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1821 SW 123RD CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-1545
Mailing Address - Country:US
Mailing Address - Phone:305-220-1133
Mailing Address - Fax:
Practice Address - Street 1:10744 SW 24TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-2456
Practice Address - Country:US
Practice Address - Phone:305-207-0187
Practice Address - Fax:305-225-3399
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0054172208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE21547Medicare UPIN
FL07627Medicare ID - Type Unspecified