Blakely, Samantha

Blakely, Samantha is an individual health care provider with primary practice located at 5597 N Dixie Hwy , Oakland Park FL 33334-3406. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Blakely, Samantha can be contacted via phone (954) 958-4800.

Contact Information

Primary practice address
5597 N Dixie Hwy Oakland Park FL 33334-3406
Phone: (954) 958-4800
Fax: (954) 229-8681
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1417272436
LBN Legal business name Blakely, Samantha
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2010
Last updated Jun 19th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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