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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124092473 | NPPES |
| Florida | MEDICAID | 267945100 | |
| Florida | Other | ME88230 |
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