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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609074533 | NPPES |
| Florida | Other | P00670337 | RAILROAD MEDICARE PROVIDER NUMBER |
| Florida | MEDICAID | 281252500 | RAILROAD MEDICARE PROVIDER NUMBER |
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