Individual
SAMANTHA LUNDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2604 GRAND CENTRAL AVE, TAVARES, FL 32778-5100
(321) 662-2045
Mailing address
2604 GRAND CENTRAL AVE, TAVARES, FL 32778-5100
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11047268
FL
Other
Enumeration date
05/08/2026
Last updated
05/08/2026
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