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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 Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Athletic Trainer

2255A2300X
 

Orthopaedic Assistant

246ZX2200X
Indicates primary specialty

NPI Profile & details for SAMANTHA L GULLETT · (Female)

NPI Number 1841888773
Status Active
Credentials ATC, LAT, OTC, PA-C
Entity Individual
Enumeration date 01/06/2021
Last updated 09/23/2025 - About 8 months ago
Sole proprietor 1 No
Identifiers
  • FL License # 201116
  • FL License # AL5559
Hospital affiliation(s) Not Available
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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