Shaw, Samantha Ann

Shaw, Samantha Ann is an individual health care provider with primary practice located at 1605 W Fairbanks Ave , Winter Park FL 32789-4603. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Shaw, Samantha Ann can be contacted via phone (407) 845-8356.

Contact Information

Primary practice address
1605 W Fairbanks Ave Winter Park FL 32789-4603
Phone: (407) 845-8356
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 11003385 Florida
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APRN11003385 Florida

Profile Details

NPI number 1457900730
LBN Legal business name Shaw, Samantha Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2019
Last updated Jul 28th, 2025 - about last year

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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