Provider Demographics
NPI:1326831728
Name:SAMJOMAL HEALTH LLC
Entity type:Organization
Organization Name:SAMJOMAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGPCNP, DNP
Authorized Official - Prefix:DR
Authorized Official - First Name:JOY
Authorized Official - Middle Name:
Authorized Official - Last Name:SEWELL
Authorized Official - Suffix:
Authorized Official - Credentials:AAPRN
Authorized Official - Phone:954-297-4481
Mailing Address - Street 1:810 BELMONT LN
Mailing Address - Street 2:
Mailing Address - City:NORTH LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33068-4273
Mailing Address - Country:US
Mailing Address - Phone:954-297-4481
Mailing Address - Fax:
Practice Address - Street 1:810 BELMONT LN
Practice Address - Street 2:
Practice Address - City:NORTH LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33068-4273
Practice Address - Country:US
Practice Address - Phone:954-297-4481
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty