Gozdanovic, Suzanne Marie
Gozdanovic, Suzanne Marie is an individual health care provider with primary practice located at 1301 2Nd Ave Sw , Largo FL 33770-3120. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Gozdanovic, Suzanne Marie can be contacted via phone (727) 584-7706.Contact Information
Primary practice address
1301 2Nd Ave Sw
Largo FL 33770-3120
Phone: (727) 584-7706
Fax: (727) 585-3829
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME113229 | Florida |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | ME113229 | Florida |
Profile Details
| NPI number | 1003076993 |
|---|---|
| LBN Legal business name | Gozdanovic, Suzanne Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2008 |
| Last updated | Oct 10th, 2012 - about 13 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 | 1003076993 | NPPES |
| Florida | MEDICAID | 006113600 | |
| Florida | Other | 9172863 | |
| Florida | Other | 14L6N | |
| Florida | Other | 1092607 | |
| Florida | Other | 6222178 |
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