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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649278128 | NPPES |
| Florida | Other | 300067508 | RR MEDICARE |
| Florida | Other | 31502 | RR MEDICARE |
| Florida | MEDICAID | 250045100 | RR MEDICARE |
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