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

Jacquatta M Samuels

Individual provider Pharmacist · NPI 1124622139

Jacquatta M Samuels is a Pharmacist in Orange Park, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2020

Practice location Address checks out

906 Blanding Blvd
Orange Park, FL 32065-6206
Phone: (904) 213-4444
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PS53466 (FL)

Record details

NPI number1124622139
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 30, 2020
Last updated in NPPESNovember 30, 2020
Certification dateNovember 30, 2020
Mailing address14320 Dovewind Ct, Jacksonville, FL 32258-5537

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