Maynard, Suzette Marie

Maynard, Suzette Marie is an individual health care provider with primary practice located at 787 37Th St , Vero Beach FL 32960-7305. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Maynard, Suzette Marie can be contacted via phone (772) 257-8224.

Contact Information

Primary practice address
787 37Th St Vero Beach FL 32960-7305
Phone: (772) 257-8224
Fax: (772) 252-3245
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11020644 Florida

Profile Details

NPI number 1932550472
LBN Legal business name Maynard, Suzette Marie
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2016
Last updated Feb 25th, 2025 - about last year

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 1932550472 NPPES
Florida Other APRN11020644 MEDICAL LICENSE
Florida MEDICAID 118202900 MEDICAL LICENSE

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