Samson Marcellus

Physician Assistant · Miramar, FL

Individual Active NPI

NPI number 1144037953

Practice location

1881 SW 148TH Way
Miramar, FL 33027-4335
Phone
(857) 267-0306

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NPI record

NPI
1144037953
Entity type
Individual (Type 1)
Enumeration date
December 16, 2024
Last updated
December 16, 2024
Certified
December 15, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 1569-PA PR
Physician Assistant 363A00000X 10239 AZ
Physician Assistant 363A00000X TPPA619 FL

About Samson Marcellus

Samson Marcellus is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1881 SW 148TH Way, Miramar, FL 33027-4335. The NPI number 1144037953 was assigned on December 16, 2024 and the record was last updated on December 16, 2024.

Samson Marcellus lists 3 licenses in the registry: #1569-PA (PR) for Physician Assistant; #10239 (AZ) for Physician Assistant; #TPPA619 (FL) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Samson Marcellus?

The NPI number is 1144037953.

What is the phone number of Samson Marcellus?

The phone number listed for the practice location is (857) 267-0306.

Where is Samson Marcellus located?

1881 SW 148TH Way, Miramar, FL 33027-4335.

What is the taxonomy code for Samson Marcellus?

The primary taxonomy code is 363A00000X – Physician Assistant; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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