Individual
SAMANTHA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1550 E VENICE AVE, VENICE, FL 34292-1661
(941) 792-2020
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-8575
(864) 359-1308
(239) 496-3939
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC6525
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPC6525
FLORIDA BOARD OF OPTOMETRY
FL
Enumeration date
07/10/2024
Last updated
04/30/2026
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