Active NPI
Samuel Desir
- Driver
- Orange Park, FL
National Provider Identifier
1972462877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- D260-780-89-023-0
- Practice address
- 554 Summit Dr
Orange Park, FL 32073-2288 - Phone
- (561) 971-9050
- NPI assigned
- Jan 17, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | D260-780-89-023-0 | FL | Primary |
Addresses
Primary practice location
554 Summit Dr
Orange Park, FL 32073-2288
Mailing address
554 Summit Dr
Orange Park, FL 32073-2288
Phone (561) 971-9050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768608000000",
"number": "1972462877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "554 SUMMIT DR",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320732288",
"telephone_number": "561-971-9050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "554 SUMMIT DR",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320732288",
"telephone_number": "561-971-9050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESIR",
"first_name": "SAMUEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-01-17",
"last_updated": "2026-01-17",
"certification_date": "2026-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "FL",
"license": "D260-780-89-023-0",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.