MEDICARE: SAMA MARAQA

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
1	122300000X	Dentist	DN30576	FL

General Provider Information

NPI Number	:	1396536744
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMA MARAQA

Provider Business Mailing Address
First Line	:	10035 E ADAMO DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33619-2619
Country	:	US
Telephone Number	:	813-312-4599
Fax Number	:

Provider Business Practice Location Address
First Line	:	10035 E ADAMO DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33619-2619
Country	:	US
Telephone Number	:	813-865-0658
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2025
Last Update Date	:	03/16/2026

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Directions to “ SAMA MARAQA ” Practice Location

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