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

Samuel Maddox

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1568136083

Samuel Maddox is an Anesthesiology Assistant in Clearwater, Florida. Qualified in 2022, 4 years ago. Practices with Brevard Physician Associates PLLC, a 219-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

3400 Gulf To Bay Blvd
Clearwater, FL 33759-4514
Phone: (813) 574-5200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence AA776 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1568136083
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 7, 2021
Last updated in NPPESMarch 1, 2024
Certification dateMarch 1, 2024
Mailing address3400 Gulf To Bay Blvd, Clearwater, FL 33759-4514

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Brevard Physician Associates Pllc — 219 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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