Samara Primary Care Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SAMARA PRIMARY CARE CLINIC

Practice address

2513 Semoran Blvd
Apopka, FL 32703-5835

Phone

(321) 200-4489

Fax

(407) 554-5860

NPI assigned

Nov 3, 2025

Last updated

Nov 13, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Judith Faustin-Gabriel, MDNPI 1194137679

Title

Medical Director

Phone

(321) 200-4489

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Judith Faustin-Gabriel, DRPH

  • Family Nurse Practitioner
  • Apopka, FL
  • NPI 1194137679
  Medicare reassignment NPD Authorized official
• Yolette Etienne, APRN, FNP-C

  • Family Nurse Practitioner
  • Orlando, FL
  • NPI 1689978504
  Medicare reassignment NPD
• Michelle A. Joseph, MD

  • General Practice Physician
  • Jacksonville, FL
  • NPI 1336545375
  Medicare reassignment NPD
• Roland Brutus, MD

  • Anesthesiology Physician
  • Orlando, FL
  • NPI 1497754303
  NPD (past)
• Dania Claude Manigat, APRN

  • Adult Health Nurse Practitioner
  • Lake Mary, FL
  • NPI 1336750793
  NPD (past)
• Lori Dee Pape, ARNP

  • Adult Health Nurse Practitioner
  • Orlando, FL
  • NPI 1487687497
  NPD (past)
• Nemie Thelot, ARNP

  • Family Nurse Practitioner
  • Miami, FL
  • NPI 1730673187

  Single Specialty

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1762128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1194694612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1039 ROCK CREEK ST",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327125700",
            "telephone_number": "321-200-4489",
            "fax_number": "407-554-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2513 SEMORAN BLVD",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327035835",
            "telephone_number": "321-200-4489",
            "fax_number": "407-554-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARA PRIMARY CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-03",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "FAUSTIN-GABRIEL",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "321-200-4489",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saltzman, Tanis, Pittell, Levin and Jacobson, LLC
• Saltzman, Tanis, Pittell, Levin and Jacobson, LLC (Pediatric Associates)
• Sam's East, Inc (Sam's Club Vision Center 30-6189)
• Basant Samaan
• Samara Home Doctor Services, LLC (Samara Primary Care Clinic)
• Sams East Inc (Sam's Club Pharmacy 10-6189)
• Shernett Angella Samuels
• Treece Lee Samuels, APRN
• Andrea San Martin, ARNP FNP-BC
• Carlos Sanchez, BCBA, MS

• Family Medicine Physician in Apopka, FL
• Providers in Apopka, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.