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

Mr. Shon Samuel

Individual provider Family Nurse Practitioner · NPI 1730974825

Mr. Shon Samuel is a Nurse Practitioner in Pembroke Pines, Florida. Qualified in 2024, 2 years ago. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2025
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Practice location Address checks out

12251 Taft St Ste 301
Pembroke Pines, FL 33026-1956
Phone: (305) 519-9975
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11038849 (FL)

Record details

NPI number1730974825
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 10, 2025
Last updated in NPPESApril 10, 2025
Certification dateMarch 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Pembroke Pines