| Michael Lee Sampson, ARNP | |
|
515 W State Road 434, Ste 203, Longwood, FL 32750-5162 | |
| (407) 265-7775 | |
| (407) 265-2266 |
| Full Name | Michael Lee Sampson |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 515 W State Road 434, Longwood, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144528522 | NPI | - | NPPES |
| 004177300 | Medicaid | FL | |
| ARNP9217644 | Other | FL | MEDICAL LICENSE |
| Facility Name | Location | Facility Type |
|---|---|---|
| Orlando Health | Orlando, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orlando Health Medical Group Inc | 9537059084 | 1810 |
| Entity Name | Orlando Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669429577 PECOS PAC ID: 9537059084 Enrollment ID: O20040318000044 |
| Entity Name | Antonio L Rodriguez Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558536631 PECOS PAC ID: 6709914237 Enrollment ID: O20100528000418 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Lee Sampson, ARNP 515 W State Road 434, Ste 203, Longwood, FL 32750-5162 Ph: (407) 265-7775 | Michael Lee Sampson, ARNP 515 W State Road 434, Ste 203, Longwood, FL 32750-5162 Ph: (407) 265-7775 |
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