Boston, Susan Jane

Boston, Susan Jane is an individual health care provider with primary practice located at 1840 Mease Dr Suite 104, Safety Harbor FL 34695-6602. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Boston, Susan Jane can be contacted via phone (727) 725-6283.

Contact Information

Primary practice address
1840 Mease Dr Suite 104 Safety Harbor FL 34695-6602
Phone: (727) 725-6283
Fax: (727) 725-6215
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X ME101236 Florida

Profile Details

NPI number 1609074533
LBN Legal business name Boston, Susan Jane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2007
Last updated Mar 9th, 2009 - about 15 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 1609074533 NPPES
Florida Other P00670337 RAILROAD MEDICARE PROVIDER NUMBER
Florida MEDICAID 281252500 RAILROAD MEDICARE PROVIDER NUMBER

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