MEDICARE: SAMANTHA GREEN

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	225X00000X	Occupational Therapist	31008672A	IN

General Provider Information

NPI Number	:	1629868427
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMANTHA GREEN

Provider Business Mailing Address
First Line	:	8360 TRENTWOOD CT
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33912-4686
Country	:	US
Telephone Number	:	574-849-6185
Fax Number	:

Provider Business Practice Location Address
First Line	:	8360 TRENTWOOD CT
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33912-4686
Country	:	US
Telephone Number	:	574-849-6185
Fax Number	:

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

Provider Enumeration Date	:	05/07/2025
Last Update Date	:	05/07/2025

Similar Medicare Providers

1396937470 — DR. BRANDON WILLIAM CORNISH O.D.
Practice Location Address:

640 N FEDERAL HWY
FORT LAUDERDALE, FL
33304-4686

Practice Phone: 954-522-3918
Practice Fax: 954-522-5137

1386821379 — FAMILY VISION INSTITUTE OF SOUTH FLORIDA INC.
Practice Location Address:

640 N FEDERAL HWY
FORT LAUDERDALE, FL
33304-4686

Practice Phone: 954-522-3918
Practice Fax: 954-522-5137

1811124241 — DR. APRIL N PATTERSON D.D.S
Practice Location Address:

646 N FEDERAL HWY
FORT LAUDERDALE, FL
33304-4686

Practice Phone: 954-524-2300
Practice Fax:

1255640397 — JENNIFER MARLENE HALLCROFT LPC
Practice Location Address:

4686 BRISTOL TRACE TRL
FORT WORTH, TX
76244-6947

Practice Phone: 817-880-3640
Practice Fax:

1447552542 — LINDSEY SUE LANO D.P.T
Practice Location Address:

634 N FEDERAL HWY
FORT LAUDERDALE, FL
33304-4686

Practice Phone: 954-302-7717
Practice Fax: 954-302-7723

1538459409 — DR. DORY GREEN DMD, FAGD
Practice Location Address:

646 N FEDERAL HWY
FORT LAUDERDALE, FL
33304-4686

Practice Phone: 954-524-2300
Practice Fax: 954-342-6404

Directions to “ SAMANTHA GREEN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.