Fraser, Susan M
Fraser, Susan M is an individual health care provider with primary practice located at 620 10Th Street N. , St. Petersburg FL 33705-1407. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Fraser, Susan M can be contacted via phone (727) 824-8325.Contact Information
Primary practice address
620 10Th Street N.
St. Petersburg FL 33705-1407
Phone: (727) 824-8325
Fax: (727) 824-8347
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | ME55701 | Florida |
Profile Details
| NPI number | 1023003621 |
|---|---|
| LBN Legal business name | Fraser, Susan M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Jan 28th, 2015 - about 10 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 | 1023003621 | NPPES |
| Florida | MEDICAID | 061569201 |
Popular Providers
-
Samuel, Abie Alias
620 10Th St N , St Petersburg FL 33705-1407 -
Wadhwa, Ranju B
1701 Se Hillmoor Dr D-16, Port St Lucie FL 34952-7552 -
Oliveira, Fellipe M.
6711 38Th Ave N , St Petersburg FL 33710-1536 -
Mahfood, J Paul
549 Nw Lake Whitney Pl Suite 101, Port St Lucie FL 34986-1606 -
Colon, Marilu
1 Saint Johns Medical Park Dr , St Augustine FL 32086-5300 -
Kudia, Ramsha A.
1301 Plantation Island Dr S Ste 402B , St Augustine FL 32080-3118 -
Perez, Myriam C
16 St Johns Medical Park Dr , St Augustine FL 32086-5299 -
Lugo Ruiz, Sonialy
620 10Th St N , St Petersburg FL 33705-1407