Sampson, Michael Lee

Sampson, Michael Lee is an individual health care provider with primary practice located at 515 W State Road 434 Ste 203, Longwood FL 32750-5162. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Sampson, Michael Lee can be contacted via phone (407) 265-7775.

Contact Information

Primary practice address
515 W State Road 434 Ste 203 Longwood FL 32750-5162
Phone: (407) 265-7775
Fax: (407) 265-2266
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X ARNP9217644 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9217644 Florida
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP9217644 Florida

Profile Details

NPI number 1144528522
LBN Legal business name Sampson, Michael Lee
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2011
Last updated Nov 15th, 2016 - about 10 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 1144528522 NPPES
Florida MEDICAID 004177300
Florida Other ARNP9217644

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