Individual provider · Type 1 NPI

Samantha Diaz, PA-C

Surgical Physician Assistant · Stuart, FL

NPI number 1700594041 Active

Practice location

200 SE Hospital Ave # 2346
Stuart, FL 34994-2346

Mailing address

104 Trailing Oak Trl
Clayton, NC 27527-5313

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant 363AS0400XNone listed
Surgical Physician Assistant Primary 363AS0400XPA9116998 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1700594041

Samantha Diaz, PA-C's National Provider Identifier is 1700594041, issued on Nov 7, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Stuart, FL. The record was last updated on Mar 13, 2023.