Individual
JAVON NANAE SAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-BC
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
Mailing address
1908 BELMONT LN, NORTH LAUDERDALE, FL 33068-4287
(954) 235-4449
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
9292356
FL
Other
Enumeration date
06/05/2017
Last updated
06/05/2017
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