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NPI Code Detail

MEDICARE: SAMUEL RAMMAGE PA-C

MEDICARE: SAMUEL RAMMAGE PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant1197457

General Provider Information

NPI Number : 1386363489
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMUEL RAMMAGE PA-C
Provider Business Mailing Address
First Line : 2900 CORPORATE WAY
Second Line :
City : MIRAMAR
State : FL
Zip : 33025-3925
Country : US
Telephone Number : 954-265-9976
Fax Number :
Provider Business Practice Location Address
First Line : 3501 JOHNSON ST
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-5421
Country : US
Telephone Number : 954-265-9976
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2022
Last Update Date : 04/06/2026

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Directions to “ SAMUEL RAMMAGE PA-C” Practice Location

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