SAMANTHA EXCELL


Address: 4600 W Commercial Blvd Ste 4a, Tamarac, FL 33319-3307
Phone: 9548128659

SAMANTHA EXCELL (NPI# 1891253498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891253498
Entity Type Individual
Full Name SAMANTHA EXCELL
Practice Address 4600 W Commercial Blvd Ste 4a
Tamarac
FL 33319-3307
Mailing Address 6080 Nw 44th St Apt 109
Lauderhill
FL 33319-4409
Practice Telephone 9548128659
Enumeration Date 2019-03-04
Last Update Date 2019-03-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 224P00000X Prosthetist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 4600 W COMMERCIAL BLVD STE 4A
City TAMARAC
State FL
Zip Code 33319-3307

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Taxonomy Information

Taxonomy Code 224P00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Prosthetist

Taxonomy Definition

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1831796275 Mireille Alexis Prosthetist 4376 Fl-7, Coral Springs, FL 33073 2020-10-08
1588279434 Kourtney James Prosthetist 715 Lori Dr Apt 304, Palm Springs, FL 33461-7104 2020-09-08
1750910790 Gabriela Jamur Prosthetist 11308 Bonita Beach Rd Se Ste 105-a, Bonita Springs, FL 34135-5912 2020-04-02
1013543701 Kateau Cerisme Prosthetist 320 N Magnolia Ave, Orlando, FL 32801-1624 2020-03-13
1780217174 Amber Baker Prosthetist 1340 Naples Cir Apt 309, Rockledge, FL 32955-2577 2020-02-13
1992336192 Antakeisha Lavonte Hepburn Prosthetist 2326 Nw 51st St, Miami, FL 33142-3677 2020-01-28
1164067211 Rayna K Bradley Prosthetist 148 Lake Ave, Maitland, FL 32751-6424 2019-11-13
1376001982 Kerryann Williams Prosthetist 6515 Nw 1st St, Margate, FL 33063-5101 2019-03-04
1528526126 Latoya Patrick Prosthetist 11361 Sheffield Rd, Spring Hill, FL 34608-2260 2019-03-04
1275091878 Debbie Denizard Prosthetist 9560 Lem Turner Rd, Jacksonville, FL 32208-7501 2019-03-04
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Competitor

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City TAMARAC
Zip Code 33319

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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