Provider Demographics
NPI:1740450196
Name:SAMMET, MARIE ANN
Entity type:Individual
Prefix:MS
First Name:MARIE
Middle Name:ANN
Last Name:SAMMET
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 970130
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33097-0130
Mailing Address - Country:US
Mailing Address - Phone:954-979-0303
Mailing Address - Fax:954-979-0303
Practice Address - Street 1:4736 LAGO VISTA DR
Practice Address - Street 2:
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073-4930
Practice Address - Country:US
Practice Address - Phone:954-979-0303
Practice Address - Fax:954-979-0303
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-01
Last Update Date:2008-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTT115412278H0200X
FLRT 35862279H0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredHome Health
No2278H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedHome Health