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SAMA MAH FOMBU NP
NPI 1245860220
Nurse Practitioner - Family in Miramar, FL

Active since January 18, 2020
3061 SW 160TH AVE STE 107, MIRAMAR, FL 33027(754) 204-0952 Get Directions Write a Review

NPPES record last updated: January 18, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sama Mah Fombu Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMA MAH FOMBU NP (NPI 1245860220) is an individual family provider in Miramar, Florida, licensed in Florida (9268150) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1245860220
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSAMA MAH FOMBUCredential: NP
Location Address3061 SW 160TH AVE STE 107Miramar, FL 33027-4213
Mailing Address3061 Sw 160th Ave Ste 107Miramar, FL 33027-4213 · (754) 204-0952
Phone(754) 204-0952
Sole ProprietorYes
Enumeration DateJanuary 18, 2020
✔ NPI 1245860220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · 9268150
3061 SW 160TH AVE STE 107, Miramar, FL 33027
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Other Identifiers 1

Other9268150FL · Not Using Insurers

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sama Fombu's NPI number?

The NPI number for Sama Fombu is 1245860220. It was assigned to this individual provider in the NPPES registry on January 18, 2020.

Where is Sama Fombu located?

Sama Fombu practices at 3061 SW 160th Ave Ste 107, Miramar, FL 33027. The listed phone number is (754) 204-0952.

What is Sama Fombu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Sama Fombu was last updated on January 18, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.