Most Relevant Information
Provider Data
| NPI Number: | 1003455437 |
| Provider Name: | SAMANTHA TRAVIERSO |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/02/2020 |
| Last Updated: | 08/22/2021 |
Provider Practice Location
3200 S UNIVERSITY DR
DAVIE
FL
333282018
Practice Location Phone/Fax
| Phone: | 9542621250 |
| Fax: |
Provider Mailing Location
3200 S UNIVERSITY DR
DAVIE
FL
333282018
Provider Mailing Phone/Fax
| Phone: | 9542621250 |
| Fax: |