Provider Demographics
NPI:1649638123
Name:AGUINAGA, SAMANTHA LEA BELL (APRN)
Entity type:Individual
Prefix:DR
First Name:SAMANTHA
Middle Name:LEA BELL
Last Name:AGUINAGA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3210 FRUITVILLE RD
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34237-6411
Mailing Address - Country:US
Mailing Address - Phone:941-366-8887
Mailing Address - Fax:941-954-3222
Practice Address - Street 1:3210 FRUITVILLE RD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34237-6411
Practice Address - Country:US
Practice Address - Phone:941-366-8887
Practice Address - Fax:941-954-3222
Is Sole Proprietor?:No
Enumeration Date:2016-01-29
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9310547363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily