Brulte, Suzanne Mitchell

Brulte, Suzanne Mitchell is an individual health care provider with primary practice located at 14011 Beach Blvd Unit 120, Jacksonville FL 32250-1694. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Brulte, Suzanne Mitchell can be contacted via phone (904) 223-6400.

Contact Information

Primary practice address
14011 Beach Blvd Unit 120 Jacksonville FL 32250-1694
Phone: (904) 223-6400
Fax: (904) 223-6420
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME89658 Florida
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME89658 Florida

Profile Details

NPI number 1619918042
LBN Legal business name Brulte, Suzanne Mitchell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Aug 18th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619918042 NPPES
Florida MEDICAID 0042847-00

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