Kane, Susan Marie

Kane, Susan Marie is an individual health care provider with primary practice located at 3000 Woodmont Ave , Winter Haven FL 33884-3800. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Kane, Susan Marie can be contacted via phone (863) 293-1191.

Contact Information

Primary practice address
3000 Woodmont Ave Winter Haven FL 33884-3800
Phone: (863) 293-1191
Fax: (863) 508-2277
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AL 1108 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT 19127 Florida

Profile Details

NPI number 1932137494
LBN Legal business name Kane, Susan Marie
Credentials PT, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Oct 7th, 2024 - about 2 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 1932137494 NPPES
Florida Other Y134F BLUE CROSS BLUE SHIELD
Florida MEDICAID 113582100 BLUE CROSS BLUE SHIELD

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