Desjardins, Susan E.

Desjardins, Susan E. is an individual health care provider with primary practice located at 1222 S Orange Ave , Orlando FL 32806-1215. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as her primary health care specialty. Desjardins, Susan E. can be contacted via phone (407) 649-6907.

Contact Information

Primary practice address
1222 S Orange Ave Orlando FL 32806-1215
Phone: (407) 649-6907
Fax: (407) 481-2035
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X ME88230 Florida

Profile Details

NPI number 1124092473
LBN Legal business name Desjardins, Susan E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Nov 11th, 2016 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1124092473 NPPES
Florida MEDICAID 267945100
Florida Other ME88230

Popular Providers