MEDICARE: SHAREE ROGERS-SAMPSON NP

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	363LF0000X	Family Nurse Practitioner	APRN9355967	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1598277824
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAREE ROGERS-SAMPSON NP

Provider Business Mailing Address
First Line	:	1082 E BRANDON BLVD
Second Line	:
City	:	BRANDON
State	:	FL
Zip	:	33511-5509
Country	:	US
Telephone Number	:	813-689-9900
Fax Number	:	813-653-9696

Provider Business Practice Location Address
First Line	:	1082 E BRANDON BLVD
Second Line	:
City	:	BRANDON
State	:	FL
Zip	:	33511-5509
Country	:	US
Telephone Number	:	813-689-9900
Fax Number	:

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

Provider Enumeration Date	:	10/26/2017
Last Update Date	:	05/12/2026

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