| Doctor Name: | MICHAEL LEE SAMPSON |
| NPI Number: | 1144528522 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ARNP |
| License Number: | ARNP9217644 |
| Business Practice Address: | 515 W State Road 434 Ste 203 Longwood, FL - 327505162 |
| Business Phone Number: | 4072657775 |
| Business Fax Number: | 4072652266 |
| Mailing Address: | 1414 Kuhl Ave, ORLANDO |
| State: | FL |
| Postal Code: | 328062008 |
| Phone Number: | 3218435500 |
| Fax Number: | 3218435550 |
| NPI Enumeration Date: | 03/08/2011 |
| NPI Last Update Date: | 06/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | ARNP9217644 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |