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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHERYL SUSAN SAM

Active

CHERYL SUSAN SAM is a Physician Assistant healthcare provider located in JACKSONVILLE, Florida. NPI 1659163335 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · JACKSONVILLE, FL

Registration Details

NPI Number
1659163335
Provider Type
Individual
Gender
Female
NPI Issued
May 20, 2025 (1.2455152765592 yrs)
Last Updated
May 20, 2025
License
12894 (GA)

Practice Information

Address
841 PRUDENTIAL DR
JACKSONVILLE, FL, 322078329
Browse FL providers · Browse ZIP 32207
Phone
4048624654
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in JACKSONVILLE, FL

Name Credential NPI
MR. JASON KOTULA P.A. 1548263882
DANIEL A BECK PA-C 1780688465
JOHN MICHAEL TIERNEY PA 1124023445
KAREN ELAINE MAYES PA 1437154887
EDWIN HAUSER PA 1760487185
PETER J RIGGS PA 1255336574
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.