Provider Demographics
NPI:1548593114
Name:BUHLER, SAMANTHA ANN (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:SAMANTHA
Middle Name:ANN
Last Name:BUHLER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:SAMANTHA
Other - Middle Name:ANN
Other - Last Name:CHEATLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:265 E ROLLINS ST STE 5000
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-5519
Mailing Address - Country:US
Mailing Address - Phone:407-821-3640
Mailing Address - Fax:407-821-3541
Practice Address - Street 1:265 E ROLLINS ST STE 5000
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-5519
Practice Address - Country:US
Practice Address - Phone:407-821-3640
Practice Address - Fax:407-821-3541
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-14
Last Update Date:2023-04-26
Deactivation Date:2010-08-03
Deactivation Code:
Reactivation Date:2010-10-12
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant