National Provider Identifier Database

SAMANTHA L GULLETT, ATC, LAT, OTC, PA-C – NPI #1841888773
Physician Assistant

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.


Contact Information

SAMANTHA L GULLETT, ATC, LAT, OTC, PA-C
4560 LANTANA RD STE 100
LAKE WORTH, FL33463-6998
Phone: 561-967-4400
Fax: 844-959-0419
Website:
Specialty Taxonomy Code
* Physician Assistant 363A00000X
Athletic Trainer 2255A2300X
Orthopaedic Assistant 246ZX2200X

* Indicates primary specialty

NPI Profile & details for SAMANTHA L GULLETT

NPI Number 1841888773
Credentials ATC, LAT, OTC, PA-C
Entity Individual
Enumeration date 01/06/2021
Last updated 09/23/2025 - About 8 months ago
Sole proprietor1 No
Identifiers
  • FL License #: 201116
  • FL License #: AL5559
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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