Provider Demographics
NPI:1366310435
Name:CUMMINGS, SAMANTHA (CPM, LM)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1923 S FLORIDA AVE
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33803-2655
Mailing Address - Country:US
Mailing Address - Phone:863-683-4663
Mailing Address - Fax:833-449-4193
Practice Address - Street 1:1923 S FLORIDA AVE
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33803-2655
Practice Address - Country:US
Practice Address - Phone:863-683-4663
Practice Address - Fax:833-449-4193
Is Sole Proprietor?:No
Enumeration Date:2025-10-29
Last Update Date:2025-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMW502176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife