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1538773783
SAMANTHA WADDELL
LAKELAND, FL
NPI
1538773783
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11009125)
Enumeration Date
2020-09-04
Last Update Date
2022-08-01
Business Address
SAMANTHA WADDELL
130 PABLO ST
LAKELAND, FL 33803-3818
Phone number: 863-284-6800
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Mailing Address
SAMANTHA WADDELL
3378 MARINER BLVD
SPRING HILL, FL 34609-2460
Phone number: 352-796-7171
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