Individual
SAMANTHA RAO DISPARTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
18135 ATHERSTONE TRL, LAND O LAKES, FL 34638-8158
(727) 359-2778
Mailing address
11061 BREMERTON CT, NEW PORT RICHEY, FL 34654-4698
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT15128
FL
363AM0700X
Medical Physician Assistant
Primary
—
FL
Other
Enumeration date
05/05/2014
Last updated
12/15/2025
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