Individual
SAMANTHA EXCELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4600 W COMMERCIAL BLVD STE 4A, TAMARAC, FL 33319-3307
(954) 812-8659
Mailing address
6080 NW 44TH ST APT 109, LAUDERHILL, FL 33319-4409
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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