Individual
SAMANTHA RYCE GRYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 OAKFIELD DR, BRANDON, FL 33511-5779
(813) 681-5551
Mailing address
5238 GATO DEL SOL CIR, WESLEY CHAPEL, FL 33544-5511
(757) 593-2225
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
567
FL
367H00000X
Anesthesiologist Assistant
8774
GA
367H00000X
Anesthesiologist Assistant
PENDING
—
Other
Enumeration date
01/15/2018
Last updated
01/11/2024
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