Smith, Susan

Smith, Susan is an individual health care provider with primary practice located at 20 W Kaley St , Orlando FL 32806-2931. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Smith, Susan can be contacted via phone (407) 423-2581.

Contact Information

Primary practice address
20 W Kaley St Orlando FL 32806-2931
Phone: (407) 423-2581
Fax: (407) 849-6470
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X ME70923 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME70923 Florida

Profile Details

NPI number 1649278128
LBN Legal business name Smith, Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Aug 22nd, 2016 - 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 1649278128 NPPES
Florida Other 300067508 RR MEDICARE
Florida Other 31502 RR MEDICARE
Florida MEDICAID 250045100 RR MEDICARE

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