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Sama Mah Fombu, NP
Family Nurse Practitioner in Miramar, Florida
NPI 1245860220

Sama Mah Fombu is a Family Nurse Practitioner based in Miramar, FL and is specialized in Family. Sama Mah Fombu practices in Miramar, FL and has the professional credentials of NP. The NPI Number for Sama Mah Fombu is 1245860220 and holds a License No. 9268150 (Florida).

The current practice location address for Sama Mah Fombu is 3061 Sw 160Th Ave Ste 107, Miramar, FL and can be reached out via phone at 754-204-0952.

Location: 3061 Sw 160Th Ave Ste 107, Miramar, FL, 33027-4213
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245860220
Provider Name
Sama Mah Fombu
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
3061 Sw 160Th Ave Ste 107, Miramar, FL, 33027-4213
Phone Number
754-204-0952
Fax Number
Provider Enumeration Date
01/18/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9268150 01 FL NOT USING INSURERS
institution
Provider Business Practice Location Address Details
Address
3061 Sw 160Th Ave Ste 107
City
Miramar
State
Florida
Zip
33027-4213
Phone Number
754-204-0952
Fax Number
person
Provider Business Mailing Address Details
Address
3061 Sw 160Th Ave Ste 107
City
Miramar
State
Florida
Zip
33027-4213
Phone Number
754-204-0952
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
9268150 (Florida)
Definition
Definition to come...
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