Samantha Alice Wardak

NPI #1942866926 in Pembroke Pines, Florida

Provider Information

NPI Number: 1942866926
Entity Type: Individual
Name: Samantha Alice Wardak
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: May 15, 2019
Last Updated: Dec 20, 2024

Practice Location

Address: 16040 PINES BLVD # P103
City: Pembroke Pines
State: Florida
ZIP Code: 33027-1171
Phone: (954) 301-4988

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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