King, Samara

King, Samara is an sole proprietor health care provider with primary practice located at 10923 Rushwood Way , Clermont FL 34714-7545. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist is her primary health care specialty. King, Samara can be contacted via phone (407) 314-5006.

Contact Information

Primary practice address
10923 Rushwood Way Clermont FL 34714-7545
Phone: (407) 314-5006
Fax: (352) 536-9669
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist 225800000X 41014 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT11595 Florida

Profile Details

NPI number 1811097397
LBN Legal business name King, Samara
Credentials MSOTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 24th, 2006
Last updated Jul 9th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811097397 NPPES
Florida MEDICAID 8911070

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