Ledbetter, Susan

Ledbetter, Susan is an individual health care provider with primary practice located at 3200 S University Dr , Davie FL 33328-2018. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Ledbetter, Susan can be contacted via phone (954) 262-4100.

Contact Information

Primary practice address
3200 S University Dr Davie FL 33328-2018
Phone: (954) 262-4100
Fax: (954) 262-3753
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS9002 Florida
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X OS9002 Florida

Profile Details

NPI number 1780620476
LBN Legal business name Ledbetter, Susan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Nov 10th, 2011 - about 14 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 1780620476 NPPES
Florida Other OS 9002 STATE LICENSE NUMBER

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