Individual
DAYANA MAGALIE SAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11601 SW 64TH AVE, MIAMI, FL 33156-4805
(786) 514-6216
Mailing address
11601 SW 64TH AVE, MIAMI, FL 33156-4805
(786) 514-6216
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085007407
IL
363A00000X
Physician Assistant
Primary
PA9110583
FL
Other
Enumeration date
05/02/2017
Last updated
11/07/2023
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