SAMANTHA ANN BLAZE PA NPI 1235883620

NPI Information

NPI: 1235883620
Provider Name: SAMANTHA ANN BLAZE, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
1500 ROYAL PALM SQUARE BLVD STE 105
FORT MYERS, FL
ZIP 33919
Phone: (239) 694-8346
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Samantha Ann Blaze, PA is a medical physician assistant in Fort Myers, FL. Samantha Ann Blaze, PA NPI is 1235883620. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1500 ROYAL PALM SQUARE BLVD STE 105
FORT MYERS, FL
ZIP 33919-058
Phone: (239) 694-8346

The enumeration date for this NPI number is 2/5/2022 and was last updated on 2/5/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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