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Individual
SAMANTHA DAWN SURACE
Active
Individual
SAMANTHA DAWN SURACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FAMILY NURSE PRACTIT
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
468023-1
NY
363L00000X
Nurse Practitioner
APRN11007304
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11007304
FL
363LF0000X
Family Nurse Practitioner
F341222-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107234300
—
FL
Enumeration date
11/27/2011
Last updated
12/22/2025
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