Jay K. Samak, PA-C

Physician Assistant · Lakeland, FL

Individual Active NPI

NPI number 1922593367

Practice location

4435 Us Highway 98 N
Lakeland, FL 33809
Phone
(863) 858-8000

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NPI record

NPI
1922593367
Entity type
Individual (Type 1)
Enumeration date
June 28, 2018
Last updated
October 4, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA9111308 FL
Physician Assistant 363A00000X 0010-08068 NC

Mailing address

4435 Us Highway 98 N
Lakeland, FL 33809-0402
Phone
(863) 858-8000

Other practice locations (6)

  • 1045 US Highway 17 S, Bartow, FL 33830-6027 · (863) 858-8000
  • 1429 Lakeland Hills Blvd, Lakeland, FL 33805-3206 · (863) 687-0200
  • 3810 S Florida Ave, Lakeland, FL 33813-1105 · (863) 619-5100
  • 101 Magnolia Ave, Auburndale, FL 33823-4201 · (863) 858-8000
  • 700 1st St S, Winter Haven, FL 33880-3605 · (863) 858-8000
  • 602 US Highway 17 92 N, Haines City, FL 33844-9461 · (863) 858-8000

About Jay Samak

Jay K. Samak, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 4435 Us Highway 98 N, Lakeland, FL 33809. The NPI number 1922593367 was assigned on June 28, 2018 and the record was last updated on October 4, 2018.

Jay Samak lists 2 licenses in the registry: #PA9111308 (FL) for Physician Assistant; #0010-08068 (NC) 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 Jay K. Samak, PA-C?

The NPI number is 1922593367.

What is the phone number of Jay Samak?

The phone number listed for the practice location is (863) 858-8000.

Where is Jay Samak located?

4435 Us Highway 98 N, Lakeland, FL 33809.

What is the taxonomy code for Jay Samak?

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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