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Individual

GEORGETTE A SAMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
77 LANDAU ST, BOYNTON BEACH, FL 33426-8434
(561) 707-4894
Mailing address
77 LANDAU ST, BOYNTON BEACH, FL 33426-8434
(561) 707-4894

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
363L00000X
Nurse Practitioner
ARNP9236286
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
ARNP9236286
FL

Other

Enumeration date
03/15/2016
Last updated
01/14/2019
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