Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARLENE Y SAMUELS, MED-WAIVER PROVIDER
Active Sole ProprietorMARLENE Y SAMUELS, MED-WAIVER PROVIDER is a Developmental Disabilities Clinic healthcare provider located in PORT ST LUCIE, Florida. NPI 1174037592 is currently active in the NPPES registry. Verify at CMS.
Developmental Disabilities Clinic · PORT ST LUCIE, FL
Registration Details
- NPI Number
- 1174037592
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 21, 2017 (8.7177763249256 yrs)
- Last Updated
- Nov 21, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
4241 SW HAGAPLAN STPORT ST LUCIE, FL, 349536583Browse FL providers · Browse ZIP 34953
- Phone
- 7722244466
- Primary Specialty
-
Developmental Disabilities Clinic
261QD1600X
Other Developmental Disabilities Clinic Providers in PORT ST LUCIE, FL
| Name | Credential | NPI |
|---|---|---|
| MS. SOPHIA BOURDEAU | LPN | 1689104192 |
| BRIAN TATUM | — | 1669984167 |
| PHILIPPE ALEXANDER | — | 1821501156 |
| TIFFANY LOSIUS | — | 1780197749 |
| SHAKERA ANN MORRIS | — | 1447753694 |
| SHANIKA N HARRIS | — | 1265028153 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.