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Individual

PREEJA SAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1400 S ORANGE AVE, ORLANDO, FL 32806-2134
(321) 841-7530
Mailing address
1400 S ORANGE AVE, ORLANDO, FL 32806-2134
(321) 841-7530
(321) 841-7096

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11020462
FL
363LF0000X
Family Nurse Practitioner
11020462
FL

Other

Enumeration date
06/27/2022
Last updated
01/18/2023
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