Greene, Samantha S

Greene, Samantha S is an individual health care provider with primary practice located at 4945 Sw 49Th Pl , Ocala FL 34474-9673. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Greene, Samantha S can be contacted via phone (352) 237-9430.

Contact Information

Primary practice address
4945 Sw 49Th Pl Ocala FL 34474-9673
Phone: (352) 237-9430
Fax: (352) 237-9698
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9101566 Florida

Profile Details

NPI number 1972544997
LBN Legal business name Greene, Samantha S
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Oct 19th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972544997 NPPES
Florida MEDICAID 291101900

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