Provider Demographics
NPI:1023585114
Name:HAMLIN, SAMANTHA LEE (RD)
Entity type:Individual
Prefix:MS
First Name:SAMANTHA
Middle Name:LEE
Last Name:HAMLIN
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1222 MEREDITH DR
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34608-6232
Mailing Address - Country:US
Mailing Address - Phone:408-489-2251
Mailing Address - Fax:
Practice Address - Street 1:1222 MEREDITH DR
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34608-6232
Practice Address - Country:US
Practice Address - Phone:408-489-2251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-27
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL8946133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered