SAMANTHA CHAMPION
NPI 1265284921
Physician Assistant - Medical in Boca Raton, FL
Active since April 04, 2024
About Samantha Champion NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA CHAMPION (NPI 1265284921) is an individual medical provider in Boca Raton, Florida, licensed in Florida (9121909) and active in the NPI registry since April 2024.
NPPES Registry Identity
NPI1265284921
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSAMANTHA CHAMPION
Location Address1601 CLINT MOORE RD STE 145Boca Raton, FL 33487-5720
Mailing Address1601 Clint Moore Rd Ste 145Boca Raton, FL 33487-5720 · (561) 210-7310
Phone(561) 210-7319
Sole ProprietorYes
Enumeration DateApril 4, 2024
Last NPPES UpdateJune 5, 20263 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
✔ NPI 1265284921 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · 9121909
1601 CLINT MOORE RD STE 145, Boca Raton, FL 33487
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265284921, enumerated as an "individual" on April 04, 2024.
The provider is located at 1601 CLINT MOORE RD STE 145 BOCA RATON, FL 33487 and the phone number is (561) 210-7319.
Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.
