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

Sambath Rin, PA

Individual provider Physician Assistant · NPI 1306064142

Sambath Rin, PA is a Physician Assistant in Lake Wales, Florida. Qualified in 2008, 18 years ago. Practices with Incare Health Solutions LLC, a 66-clinician group and accepts Medicare assignment. Licensed in Florida and Ohio.

Years since qualifying
18
Licensed in
FL, OH
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

320 State Road 60 E
Lake Wales, FL 33853-3750
Phone: (863) 679-7985
Fax: (863) 679-1865
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50-001740 (OH)
Physician Assistant Taxonomy 363A00000X · Licence PA9104044 (FL)

Record details

NPI number1306064142
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 24, 2007
Last updated in NPPESApril 5, 2016
Mailing address320 State Road 60 E, Lake Wales, FL 33853-3750

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Incare Health Solutions Llc — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Lake Wales