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Individual
SAMANTHA L GULLETT
Active
Individual
SAMANTHA L GULLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT, OTC, PA-C
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AL5559
FL
246ZX2200X
Orthopedic Assistant
201116
FL
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/06/2021
Last updated
09/23/2025
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