Healthcare Provider Details

I. General information

NPI: 1104373778
Provider Name (Legal Business Name): SAMANTHA CAHEN ARNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2016
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3119 CORAL WAY SUITE A
CORAL GABLES FL
33145-3209
US

IV. Provider business mailing address

10 SW SOUTH RIVER DR 1602
MIAMI FL
33130-4800
US

V. Phone/Fax

Practice location:
  • Phone: 305-975-0690
  • Fax:
Mailing address:
  • Phone: 305-975-0690
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9327729
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: