Constantino, Susan M

Constantino, Susan M is an individual health care provider with primary practice located at 210 Rinehart Rd , Lake Mary FL 32746-2514. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Constantino, Susan M can be contacted via phone (321) 843-2100.

Contact Information

Primary practice address
210 Rinehart Rd Lake Mary FL 32746-2514
Phone: (321) 843-2100
Fax: (321) 842-3498
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 24458 Nebraska
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 37621 Iowa
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X ME109355 Florida
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X ME109355 Florida

Profile Details

NPI number 1831317940
LBN Legal business name Constantino, Susan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2007
Last updated Jun 20th, 2019 - about 5 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 1831317940 NPPES
Florida MEDICAID 003455800

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