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Samantha Waddell
Family Nurse Practitioner in Lakeland, Florida
NPI 1538773783

Samantha Waddell is a Family Nurse Practitioner based in Spring Hill, FL and is specialized in Family. Samantha Waddell practices in Lakeland, FL. The NPI Number for Samantha Waddell is 1538773783 and holds a License No. 11009125 (Florida).

The current practice location address for Samantha Waddell is 130 Pablo St, Lakeland, FL and can be reached out via phone at 863-284-6800 and via fax at 863-687-1033.

Location: 130 Pablo St, Lakeland, FL, 34609-2460
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538773783
Provider Name
Samantha Waddell
Credential
Provider Entity Type
Individual
Gender
Female
Address
130 Pablo St, Lakeland, FL, 34609-2460
Phone Number
863-284-6800
Fax Number
863-687-1033
Provider Enumeration Date
09/04/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1538773783 05 FL
institution
Provider Business Practice Location Address Details
Address
130 Pablo St
City
Lakeland
State
Florida
Zip
33803-3818
Phone Number
863-284-6800
Fax Number
863-687-1033
person
Provider Business Mailing Address Details
Address
130 Pablo St
City
Lakeland
State
Florida
Zip
33803-3818
Phone Number
863-284-6800
Fax Number
863-687-1033
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
11009125 (Florida)
Definition
Definition to come...
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