Susi, J Richard
Susi, J Richard is an sole proprietor health care provider with primary practice located at 7326 Lake Underhill Rd , Orlando FL 32822-6055. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Susi, J Richard can be contacted via phone (407) 380-2020.Contact Information
Primary practice address
7326 Lake Underhill Rd
Orlando FL 32822-6055
Phone: (407) 380-2020
Fax: (407) 381-8112
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | OS4893 | Florida |
Profile Details
| NPI number | 1871598219 |
|---|---|
| LBN Legal business name | Susi, J Richard |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2005 |
| Last updated | Feb 28th, 2013 - about 13 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 | 1871598219 | NPPES |
| Florida | MEDICAID | 078374900 |
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