Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Samantha Rose Teeter, PA-C

Individual provider Physician Assistant · NPI 1982269361

Samantha Rose Teeter, PA-C is a Physician Assistant in Jacksonville, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4268 Oldfield Crossing Dr
Jacksonville, FL 32223-7898
Phone: (607) 426-1880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 900 Beach Blvd, Jacksonville Beach, FL 32250-4368 — (904) 249-0335

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9112809 (FL)

Record details

NPI number1982269361
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 1, 2019
Last updated in NPPESMarch 28, 2022
Certification dateMarch 28, 2022

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