Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Shirli Samara, DOMBA

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1588423693

Dr. Shirli Samara, DOMBA is a Student in an Organized Health Care Education/Training Program in Orange Park, Florida. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone: (904) 639-8500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1588423693
Entity typeIndividual (Type 1)
GenderFemale
Credentials DOMBA
Sole proprietorYes
NPI enumeratedMarch 19, 2024
Last updated in NPPESMarch 19, 2024
Certification dateMarch 19, 2024

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