Provider Demographics
NPI:1851772255
Name:AUGUSTYN, SAMANTHA ERIN (MS)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:ERIN
Last Name:AUGUSTYN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:SAMANTHA
Other - Middle Name:ERIN
Other - Last Name:NEUMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:1501 NW 10TH AVE # BRB-330
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1012
Mailing Address - Country:US
Mailing Address - Phone:305-243-7962
Mailing Address - Fax:305-243-3919
Practice Address - Street 1:1501 NW 10TH AVE # BRB-330
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1012
Practice Address - Country:US
Practice Address - Phone:305-243-7962
Practice Address - Fax:305-243-7962
Is Sole Proprietor?:No
Enumeration Date:2015-06-11
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLGC4170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS