SAMANTHA L. JUSINO (NPI# 1467962365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467962365 |
| Entity Type | Individual |
| Full Name | SAMANTHA L. JUSINO |
| Credential | P.A. |
| Practice Address |
4235 Kings Highway Suite 103 Port Charlotte FL 33980-8421 |
| Practice Telephone | 9416131777 |
| Practice Fax Number | 9416131779 |
| Mailing Telephone | 9416131777 |
| Mailing Fax Number | 9416131779 |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2020-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9110617 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4235 KINGS HIGHWAY SUITE 103 |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33980-8421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689778706 | Jaime Cancel | Internal Medicine | 4235 Kings Highway, Suite 103, Port Charlotte, FL 33980-8421 | 2006-09-11 |
| 1730723990 | Monica Gomez | Nurse Practitioner | 4235 Kings Highway, Suite 103, Port Charlotte, FL 33980-8421 | 2019-10-31 |
| 1295245850 | Zahily Peraza-higgins | Nurse Practitioner | 4235 Kings Highway, Suite 103, Port Charlotte, FL 33980 | 2017-10-09 |
| 1811375546 | Tara Lynn Towne | Nurse Practitioner | 4235 Kings Highway, Suite 103, Port Charlotte, FL 33980-8421 | 2015-05-14 |
| 1689070468 | Sara E Woolf | Nurse Practitioner | 4235 Kings Highway, Suite 103, Port Charlotte, FL 33980-8421 | 2014-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144699646 | Raymond B Hendricks | Custodial Care Facility | 1306 Annette St, Port Charlotte, FL 33980 | 2015-09-15 |
| 1649616517 | Anne Yvonne Clarke | Nurse's Aide | 3378 Idlewild Street, Port Charlotte, FL 33980 | 2013-05-17 |
| 1427395680 | John F Guarino Md Pa | Surgery | 4245 Kings Hwy, Unit A, Port Charlotte, FL 33980 | 2013-01-08 |
| 1497049027 | Patricia Ann Drow | Occupational Therapist | 24469 Manchester Trail, Port Charlotte, FL 33980 | 2011-05-31 |
| 1811221484 | Amanda K Huffman | Clinical Nurse Specialist | 22655 Bayshore Rd Ste 130, Port Charlotte, FL 33980 | 2009-09-29 |
| 1093967739 | Donna Olson | Nurse Practitioner | 1100 Loveland Boulevard, Port Charlotte, FL 33980 | 2008-10-14 |
| 1821278029 | Paula Marie Allison | Dietitian, Registered | 23422 Burlingame Ave, Port Charlotte, FL 33980 | 2007-11-06 |
| 1689865891 | Keith Anthony Williams | Physical Medicine & Rehabilitation | 4265 Laura Street, Port Charlotte, FL 33980 | 2007-08-05 |
| 1578685491 | Richard Michael Cocchieri | Dentist | Florida Department of Health In Charlotte County, 1100 Loveland Boulevard, Port Charlotte, FL 33980 | 2007-04-03 |
| 1417989328 | John F Guarino | Surgery | 4245 Kings Highway, Unit A, Port Charlotte, FL 33980 | 2006-07-07 |
| Find all providers in zip 33980 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891267779 | Jenna Mut | Physician Assistant | 20416 Copeland Ave, Port Charlotte, FL 33952-1304 | 2018-12-17 |
| 1962752279 | Ashley Nichole Reid | Physician Assistant | 2040 Tamiami Trl, Suite C, Port Charlotte, FL 33948-2178 | 2012-09-13 |
| 1164580536 | Brian R Webster | Physician Assistant | 530 Tamiami Trail, Port Charlotte, FL 33953 | 2006-12-05 |
| 1457390270 | Mark Browning | Physician Assistant | 4161 Tamiami Trl Ste 201, Port Charlotte, FL 33952-9204 | 2006-06-06 |
| 1902859739 | Timothy Francis | Physician Assistant | 2335 Aaron St, Port Charlotte, FL 33952-5305 | 2006-05-19 |
| 1861031338 | Anisleisys Vazquez | Physician Assistant | 2852 Tamiami Trl Ste 4, Port Charlotte, FL 33952-5100 | 2020-01-02 |
| 1326500174 | Emily Jane Brown | Physician Assistant | 17928 Toledo Blade Blvd, Port Charlotte, FL 33948-1021 | 2019-04-02 |
| 1982115069 | Norah Lynn Mccrossin | Physician Assistant | 2380 Harbor Blvd, Port Charlotte, FL 33952-5024 | 2017-10-17 |
| 1821538653 | Matthew Osborne | Physician Assistant | 19531 Cochran Blvd, Port Charlotte, FL 33948-2081 | 2017-02-27 |
| 1447623228 | Winding Road Emergency Physicians, LLC | Physician Assistant | 21298 Olean Blvd, Port Charlotte, FL 33952-6705 | 2015-11-03 |
| Find all providers in PORT CHARLOTTE | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33980 |
Please comment or provide details below to improve the information on SAMANTHA L. JUSINO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.