Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Samar Fawaz

Individual provider Physician Assistant · NPI 1548779580

Samar Fawaz is a Physician Assistant in Palm Bay, Florida. Licensed in Florida and Michigan. Registered with an NPI since 2017.

Licensed in
FL, MI
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

175 Villa Nueva Ave NE
Palm Bay, FL 32907-2595
Phone: (313) 574-2965
Fax: (321) 603-3560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9111341 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 5601008292 (MI)

Record details

NPI number1548779580
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 21, 2017
Last updated in NPPESOctober 31, 2018

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients136
Services billed 719 a service is one billed item, such as a visit, a test or a procedure
Average patient age79

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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