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1023571759
SAMANTHA HEAD
FORT MYERS, FL
NPI
1023571759
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11001900)
Enumeration Date
2019-04-10
Last Update Date
2021-03-25
Business Address
SAMANTHA HEAD
5216 CLAYTON CT
FORT MYERS, FL 33907-2116
Phone number: 239-343-8260
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Mailing Address
SAMANTHA HEAD
PO BOX 2147
FORT MYERS, FL 33902-2147
Phone number: 239-343-8260
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