Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Samuel Small I

Individual provider Community/Behavioral Health Agency · NPI 1568914174

Mr. Samuel Small I is a Community/Behavioral Health Agency in Jacksonville, Florida. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

3606 Jacob Lois Dr
Jacksonville, FL 32218-2970
Phone: (904) 483-1870
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1568914174
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 30, 2016
Last updated in NPPESOctober 30, 2016

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