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

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

Practice location Address checks out

175 Villa Nueva Ave NE
Palm Bay, FL 32907-2595
Phone: (313) 574-2965
Fax: (321) 603-3560
Show map & directions

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
Mailing address2065 Highway A1a Apt 1403, Indian Harbour Beach, FL 32937-1811

Other providers in Palm Bay