Individual
TABATHA SAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
722 TRADE WAY, SANFORD, FL 32771-8657
(833) 769-3524
(407) 915-4387
Mailing address
722 TRADE WAY, SANFORD, FL 32771-8657
(833) 769-3524
(407) 915-4387
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11027862
FL
Other
Enumeration date
10/09/2023
Last updated
09/23/2025
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