Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043657968 Individual Practitioner Female Practitioner

Dr. Angela Mary-Riad Samuel , MD

Pediatrics • Plantation, FL

Professional Overview & Biography Verified Profile Summary

Dr. Angela Samuel, MD is a registered healthcare professional specializing in Pediatrics in Plantation, FL. Practice services are available at 9611 W BROWARD BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9611 W Broward Blvd

Plantation, FL 333242334

Telephone 9544247000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Plantation, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.0 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
85 Specialists

Practicing in Plantation, FL (4160 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-07-06
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL ME133485

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License IL 125-062979

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
101269100 (FL)

Secondary Practice Locations

10710 State Road 54 Ste 108

Trinity, FL 346552263

Phone: 7273764040

11260 Sullivan St

Riverview, FL 335782140

Phone: 8136897571

4972 Town Center Pkwy Unit 301

Jacksonville, FL 322468596

Phone: 9046426100

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003236175

Doctor of Medicine (M.D.)

Julie Stephens , APRN

Nurse Practitioner - Family

NPI 1023338811

Advanced Practice Registered Nurse

NPI 1043302771

Doctor of Medicine (M.D.)

NPI 1043891542

Doctor of Medicine (M.D.)

Hunter Pierce

Nurse Practitioner - Pediatrics

NPI 1073173332
Milagros Morales

Nurse Practitioner - Family

NPI 1093366205

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location July 06, 2023

Registered at 9611 W BROWARD BLVD, PLANTATION, FL 333242334 (Tel: 9544247000)

📍
Updated Practice Location October 08, 2018

Registered at 11260 SULLIVAN ST, RIVERVIEW, FL 335782140 (Tel: 8136897571)

📍
Updated Business Mailing Address October 08, 2018

Registered at 11260 SULLIVAN ST, RIVERVIEW, FL 335782140 (Tel: 8136897571)

NPI Profile Active June 01, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location June 01, 2013

Registered at 1645 W JACKSON BLVD, CHICAGO, IL 606123276 (Tel: 4348241342)

📍
Updated Business Mailing Address June 01, 2013

Registered at 1653 W CONGRESS PKWY, CHICAGO, IL 606123833 (Tel: 4342841342)

👤
Provider Name / Credentials Updated June 01, 2013

Recorded as ANGELA SAMUEL, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2013

Pediatrics (License #125-062979 in IL)

🟢
Initial NPI Registration & Enumeration June 01, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043657968
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2013
Last Update: July 06, 2023
Sole Proprietor: No

Mailing Address

11260 Sullivan St

Riverview, FL 335782140

Phone: 8136897571

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.