Provider Demographics
NPI:1184958191
Name:HILLS, SAMUEL JR (LMT)
Entity type:Individual
Prefix:MR
First Name:SAMUEL
Middle Name:
Last Name:HILLS
Suffix:JR
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5145 ACOMA AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32210-7970
Mailing Address - Country:US
Mailing Address - Phone:904-477-7002
Mailing Address - Fax:
Practice Address - Street 1:5145 ACOMA AVE
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32210-7970
Practice Address - Country:US
Practice Address - Phone:904-477-7002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-23
Last Update Date:2009-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA46184173C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173C00000XOther Service ProvidersReflexologist