Individual
MS. SAMANTHA C RADIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
620 10TH ST N STE 2A, ST PETERSBURG, FL 33705-1407
(727) 824-8243
Mailing address
620 10TH ST N STE 2A, ST PETERSBURG, FL 33705-1407
(727) 824-8243
(727) 824-8233
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 9104229
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006244100
—
FL
Enumeration date
07/29/2006
Last updated
04/13/2023
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