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Contact Information

SAMANTHA A WARDAK
16040 PINES BLVD # P103
PEMBROKE PINES, FL33027-1171
 Phone: 954-301-4988
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for SAMANTHA A WARDAK · (Female)

NPI Number 1942866926
Status Active
Credentials
Entity Individual
Enumeration date 05/15/2019
Last updated 12/20/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • FL License # PA9115962
Hospital affiliation(s)
  • EMORY UNIVERSITY HOSPITAL MIDTOWN - (Acute Care)
    550 PEACHTREE ST NE
    ATLANTA, GA 30308
  • GWINNETT MEDICAL CENTER - (Acute Care)
    1000 MEDICAL CENTER BOULEVARD
    LAWRENCEVILLE, GA 30045
  • NORTHSIDE HOSPITAL - (Acute Care)
    1000 JOHNSON FERRY ROAD, NE
    ATLANTA, GA 30342
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
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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