MEDICARE: SAMANTHA GOMES COMPTON

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	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1437879194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMANTHA GOMES COMPTON

Provider Business Mailing Address
First Line	:	12601 SPRING HILL DR
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34609-5009
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12601 SPRING HILL DR
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34609-5009
Country	:	US
Telephone Number	:	352-616-0649
Fax Number	:

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

Provider Enumeration Date	:	09/01/2022
Last Update Date	:	09/01/2022

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Directions to “ SAMANTHA GOMES COMPTON ” Practice Location

Language	Start Address	Practice Location

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