Provider Demographics
NPI:1336472539
Name:ROJAS, SAMANTHA FAITH (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:SAMANTHA
Middle Name:FAITH
Last Name:ROJAS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MRS
Other - First Name:SAMANTHA
Other - Middle Name:FAITH
Other - Last Name:STERNBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:23215 STATE ROAD 247
Mailing Address - Street 2:
Mailing Address - City:O BRIEN
Mailing Address - State:FL
Mailing Address - Zip Code:32071-4225
Mailing Address - Country:US
Mailing Address - Phone:954-243-3128
Mailing Address - Fax:
Practice Address - Street 1:23215 STATE ROAD 247
Practice Address - Street 2:
Practice Address - City:O BRIEN
Practice Address - State:FL
Practice Address - Zip Code:32071-4225
Practice Address - Country:US
Practice Address - Phone:386-287-1213
Practice Address - Fax:386-222-7350
Is Sole Proprietor?:No
Enumeration Date:2009-09-08
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9289031163W00000X
FLARNP9289031363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL115592800Medicaid