Ellen Ann Sam, PA

Physician Assistant · Aventura, FL

Individual Active NPI

NPI number 1740379825

Practice location

21150 Biscayne Blvd
Suite 408
Aventura, FL 33180-1226
Phone
(305) 932-3252
Fax
(305) 932-2798

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NPI record

NPI
1740379825
Entity type
Individual (Type 1)
Enumeration date
October 12, 2006
Last updated
June 25, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X — —
Allergy & Immunology Physician 207K00000X PA9103517 FL

Mailing address

11880 SW 40TH St
Suite 304
Miami, FL 33175-3584
Phone
(305) 223-8808
Fax
(305) 223-8974

About Ellen Sam

Ellen Ann Sam, PA is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 21150 Biscayne Blvd, Suite 408, Aventura, FL 33180-1226. The NPI number 1740379825 was assigned on October 12, 2006 and the record was last updated on June 25, 2019.

Ellen Sam lists a license in the registry: #PA9103517 (FL) for Allergy & Immunology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ellen Ann Sam, PA?

The NPI number is 1740379825.

What is the phone number of Ellen Sam?

The phone number listed for the practice location is (305) 932-3252.

Where is Ellen Sam located?

21150 Biscayne Blvd, Suite 408, Aventura, FL 33180-1226.

What is the taxonomy code for Ellen Sam?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 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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