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NPI Code Detail

MEDICARE: SAMANTHA BURSTELL ARNP

MEDICARE: SAMANTHA BURSTELL 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
1363LF0000XFamily Nurse PractitionerARNP9391306FL

General Provider Information

NPI Number : 1235653825
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA BURSTELL ARNP
Provider Business Mailing Address
First Line : 111 N ORANGE AVE STE 800
Second Line :
City : ORLANDO
State : FL
Zip : 32801-2381
Country : US
Telephone Number : 888-731-8994
Fax Number : 561-852-7611
Provider Business Practice Location Address
First Line : 111 N ORANGE AVE STE 800
Second Line :
City : ORLANDO
State : FL
Zip : 32801-2381
Country : US
Telephone Number : 888-731-8994
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2017
Last Update Date : 03/20/2026

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