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

Samantha Rosa Moore

Individual provider Nurse Practitioner · NPI 1578430948

Samantha Rosa Moore is a Nurse Practitioner in Lutz, Florida. Licensed in Florida. Registered with an NPI since 2025.

Licensed in
FL
In the registry since
2025

Practice location Address checks out

3505 Wicket Field Rd
Lutz, FL 33548-3403
Phone: (813) 810-4860
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN11038308 (FL)

Record details

NPI number1578430948
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 21, 2025
Last updated in NPPESOctober 21, 2025
Certification dateOctober 21, 2025
Mailing address3505 Wicket Field Rd, Lutz, FL 33548-3403

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