Provider Demographics
NPI:1518211846
Name:BEAMS, SAMANTHA E (PA-C)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:E
Last Name:BEAMS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:SAMANTHA
Other - Middle Name:E
Other - Last Name:COLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:5511 N UNIVERSITY DR STE 101B
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33067-4646
Mailing Address - Country:US
Mailing Address - Phone:954-755-4002
Mailing Address - Fax:954-755-5010
Practice Address - Street 1:5511 N UNIVERSITY DR STE 101B
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33067
Practice Address - Country:US
Practice Address - Phone:954-755-4002
Practice Address - Fax:954-755-5010
Is Sole Proprietor?:No
Enumeration Date:2012-11-08
Last Update Date:2018-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9106940363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant