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

Samar Fawaz

Individual provider Physician Assistant · NPI 1548779580

Samar Fawaz is a Physician Assistant in Palm Bay, Florida. Licensed in Florida and Michigan. Registered with an NPI since 2017.

Licensed in
FL, MI
In the registry since
2017
Specialties on file
2

Practice location Address checks out

175 Villa Nueva Ave NE
Palm Bay, FL 32907-2595
Phone: (313) 574-2965
Fax: (321) 603-3560
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9111341 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 5601008292 (MI)

Record details

NPI number1548779580
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 21, 2017
Last updated in NPPESOctober 31, 2018

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