MEDICARE: RACHEL SAMMARTANO PA

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	363A00000X	Physician Assistant	015374	NY
2	363A00000X	Physician Assistant	PA9109346	FL

General Provider Information

NPI Number	:	1710255633
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL SAMMARTANO PA

Provider Business Mailing Address
First Line	:	1065 NE 125TH ST STE 300
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33161-5833
Country	:	US
Telephone Number	:	888-852-6672
Fax Number	:	786-235-6225

Provider Business Practice Location Address
First Line	:	7481 W OAKLAND PARK BLVD STE 100
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33319-4985
Country	:	US
Telephone Number	:	954-771-7743
Fax Number	:

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

Provider Enumeration Date	:	12/06/2011
Last Update Date	:	01/16/2024

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Directions to “ RACHEL SAMMARTANO PA” Practice Location

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