Vance, Sushma K

Vance, Sushma K is an individual health care provider with primary practice located at 6207 Bennett Rd , Jacksonville FL 32216-5007. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Vance, Sushma K can be contacted via phone (904) 241-7865.

Contact Information

Primary practice address
6207 Bennett Rd Jacksonville FL 32216-5007
Phone: (904) 241-7865
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME122617 Florida

Profile Details

NPI number 1124210281
LBN Legal business name Vance, Sushma K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2007
Last updated Mar 28th, 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 1124210281 NPPES
Florida MEDICAID 014425300
Florida Other ME122617

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