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NPI Code Detail

MEDICARE: ROXANNE SAMS ARNP

MEDICARE: ROXANNE SAMS ARNP
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
1363LA2200XAdult Health Nurse Practitioner575092FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124097605
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROXANNE SAMS ARNP
Provider Business Mailing Address
First Line : PO BOX 1270
Second Line :
City : PALM HARBOR
State : FL
Zip : 34682-1270
Country : US
Telephone Number : 727-785-6275
Fax Number :
Provider Business Practice Location Address
First Line : 1020 LAKEVIEW RD
Second Line :
City : CLEARWATER
State : FL
Zip : 33756-3423
Country : US
Telephone Number : 727-461-1439
Fax Number : 727-443-7230
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2006
Last Update Date : 07/08/2007

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