Cubberley, Susanne M

Cubberley, Susanne M is an individual health care provider with primary practice located at 11972 Orange Blossom Dr , Seminole FL 33772-3443. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Nursing Home Administrator, Nursing Service Providers / Registered Nurse. Nursing Service Related Providers / Nursing Home Administrator is her primary health care specialty. Cubberley, Susanne M can be contacted via phone (727) 385-8046.

Contact Information

Primary practice address
11972 Orange Blossom Dr Seminole FL 33772-3443
Phone: (727) 385-8046
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nursing Home Administrator 376G00000X 151134962 Florida
Nursing Service Providers / Registered Nurse 163W00000X RN33667152 Florida

Profile Details

NPI number 1538679378
LBN Legal business name Cubberley, Susanne M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2017
Last updated Oct 6th, 2017 - about 9 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 1538679378 NPPES
Florida MEDICAID 015342000

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