Provider Demographics
NPI:1467434118
Name:HESS, SAMUEL JONATHAN (MD)
Entity Type:Individual
Prefix:
First Name:SAMUEL
Middle Name:JONATHAN
Last Name:HESS
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:PO BOX 773574
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33077
Mailing Address - Country:US
Mailing Address - Phone:954-688-6884
Mailing Address - Fax:954-656-5206
Practice Address - Street 1:2929 N. UNIVERSITY DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065
Practice Address - Country:US
Practice Address - Phone:954-688-6884
Practice Address - Fax:954-656-5206
Is Sole Proprietor?:No
Enumeration Date:2005-11-17
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY31977601207XS0117X
NJ25MA11078200207XS0117X
FLME93944207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL28646OtherBC OF FLA
FL273295500Medicaid
I11205Medicare UPIN
FL273295500Medicaid
FL0873960001Medicare NSC