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

Samson Marcellus

Individual provider Physician Assistant · NPI 1144037953

Samson Marcellus is a Physician Assistant in Miramar, Florida. Practices as a sole proprietor. Licensed in Arizona, Florida and Puerto Rico.

Licensed in
AZ, FL, PR
In the registry since
2024
Specialties on file
3

Practice location Address checks out

1881 SW 148th Way
Miramar, FL 33027-4335
Phone: (857) 267-0306
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1569-PA (PR)
Physician Assistant Taxonomy 363A00000X · Licence 10239 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence TPPA619 (FL)

Record details

NPI number1144037953
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 16, 2024
Last updated in NPPESDecember 16, 2024
Certification dateDecember 15, 2024
Mailing address1881 Sw 148th Way, Miramar, FL 33027-4335

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