Kolios, Samantha Rose

Kolios, Samantha Rose is an individual health care provider with primary practice located at 1000 Mar Walt Dr , Fort Walton Beach FL 32547-6708. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Maternal Newborn, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Kolios, Samantha Rose can be contacted via phone (850) 864-0269.

Contact Information

Primary practice address
1000 Mar Walt Dr Fort Walton Beach FL 32547-6708
Phone: (850) 864-0269
Fax: (850) 862-1839
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Maternal Newborn 163WM0102X 157401 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN11019228 Florida

Profile Details

NPI number 1285381343
LBN Legal business name Kolios, Samantha Rose
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2022
Last updated May 19th, 2022 - about 2 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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