MEDICARE: SAMANTHA MIGLIORE PA-C

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PA9121478	OTHER	FL	FLORIDA BOARD OF MEDICINE

General Provider Information

NPI Number	:	1861342438
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMANTHA MIGLIORE PA-C

Provider Business Mailing Address
First Line	:	PO BOX 44008
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32231-4008
Country	:	US
Telephone Number	:	561-907-9344
Fax Number	:

Provider Business Practice Location Address
First Line	:	14146 PACIFIC POINT PL APT 309
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-1887
Country	:	US
Telephone Number	:	561-907-9344
Fax Number	:

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

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	04/27/2026

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Directions to “ SAMANTHA MIGLIORE PA-C” Practice Location

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