Individual
SAMANTHA J MARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7800 US HIGHWAY 98 W # ER, MIRAMAR BEACH, FL 32550-7228
(850) 278-3510
(850) 475-4781
Mailing address
7800 US HIGHWAY 98 WEST, MIRAMAR BEACH, FL 32550
(850) 278-3000
(850) 475-4781
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9107898
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0140269-00
—
FL
01
—
Y0P4G
BCBS
FL
Enumeration date
02/08/2013
Last updated
07/21/2022
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