Search › Florida › 363A00000X
Samantha Wardak
NPI 1942866926 · on the registry since 2019 · sole proprietor
Practice
- Address
- 16040 Pines Blvd # P103
Pembroke Pines, FL 33027 - Phone
- (954) 301-4988
Additional practice sites
- 1700 Medical Way, Snellville, GA
- 17819 E Wheeler Lake Ln, Lakewood, WI
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- FL, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-12-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida