MEDICARE: SAMANTHA ANN DE FELICE

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	104100000X	Social Worker

General Provider Information

NPI Number	:	1962246603
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMANTHA ANN DE FELICE

Provider Business Mailing Address
First Line	:	5205 GREENWOOD AVE STE 105
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-2400
Country	:	US
Telephone Number	:	561-244-9499
Fax Number	:	561-345-3800

Provider Business Practice Location Address
First Line	:	5205 GREENWOOD AVE STE 105
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-2400
Country	:	US
Telephone Number	:	561-244-9499
Fax Number	:	561-345-3800

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

Provider Enumeration Date	:	06/19/2024
Last Update Date	:	01/08/2026

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Directions to “ SAMANTHA ANN DE FELICE ” Practice Location

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