Individual provider · Type 1 NPI

Samantha Marie Kanuck, PA-C

Physician Assistant · Mangonia Park, FL

NPI number 1053803387 Active

Practice location

927 45th St Ste 101
Mangonia Park, FL 33407-2450

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X8782 (GA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1053803387

Samantha Marie Kanuck, PA-C's National Provider Identifier is 1053803387, issued on Jun 1, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Mangonia Park, FL. The record was last updated on Nov 11, 2021.