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NPI Code Detail

MEDICARE: SAMAH NASSER

MEDICARE: SAMAH NASSER
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
1163W00000XRegistered Nurse9514023FL

General Provider Information

NPI Number : 1477497253
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMAH NASSER
Provider Business Mailing Address
First Line : 16306 BRIDGELAWN AVE
Second Line :
City : LITHIA
State : FL
Zip : 33547-4850
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3202 N PARK RD
Second Line :
City : PLANT CITY
State : FL
Zip : 33563-2026
Country : US
Telephone Number : 813-757-1200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2026
Last Update Date : 04/14/2026

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Directions to “ SAMAH NASSER ” Practice Location

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