Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Samuel Joseph, PA-C, MD

Individual provider Family Medicine Physician · NPI 1588288203

Dr. Samuel Joseph, PA-C, MD is a Physician Assistant in Mount Dora, Florida. Qualified in 2013, 13 years ago. Practices as a sole proprietor, works from 3 locations and accepts Medicare assignment. Licensed in Arizona, Florida, Illinois and Puerto Rico.

Years since qualifying
13
Licensed in
AZ, FL, IL, PR
In the registry since
2020
Specialties on file
5
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4601 N Highway 19A
Mount Dora, FL 32757-2039
Phone: (352) 602-7924
Fax: (754) 206-2394
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6739 W Cactus Rd, Peoria, AZ 85381-5311 — (833) 242-0100
  • 22730 Sw 55th Ave, Boca Raton, FL 33433-6258 — (561) 573-8521

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9733 (AZ)
Family Medicine Physician Taxonomy 207Q00000X · Licence HSE32842 (FL)
Surgery Physician Taxonomy 208600000X · Licence 238000625 (IL)
General Practice Physician Taxonomy 208D00000X · Licence TPPA373 (PR)
Physician Assistant Taxonomy 363A00000X · Licence TPPA373 (FL)

Record details

NPI number1588288203
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , MD
Sole proprietorYes
NPI enumeratedMay 29, 2020
Last updated in NPPESJuly 6, 2023
Certification dateJuly 6, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mount Dora