Buckley, Susan Ricardo

Buckley, Susan Ricardo is an individual health care provider with primary practice located at 1259 S Beach St Apt 1105 , Daytona Beach FL 32114. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Buckley, Susan Ricardo can be contacted via phone (386) 527-9178.

Contact Information

Primary practice address
1259 S Beach St Apt 1105 Daytona Beach FL 32114
Phone: (386) 527-9178
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X ND4064 Florida

Profile Details

NPI number 1225383094
LBN Legal business name Buckley, Susan Ricardo
Credentials ND
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2012
Last updated Jul 15th, 2019 - about 6 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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