Mayer, Suman
Mayer, Suman is an sole proprietor health care provider with primary practice located at 800 Prudential Dr , Jacksonville FL 32207-8202. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as her primary health care specialty. Mayer, Suman can be contacted via phone (904) 396-5682.Contact Information
Primary practice address
800 Prudential Dr
Jacksonville FL 32207-8202
Phone: (904) 396-5682
Fax: (904) 346-0864
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | ME40778 | Florida |
Profile Details
| NPI number | 1467473496 |
|---|---|
| LBN Legal business name | Mayer, Suman |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 23rd, 2006 |
| Last updated | Jul 9th, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467473496 | NPPES |
| Florida | Other | 14120 | BCBS |
| Florida | MEDICAID | 00379057A | BCBS |
| Florida | MEDICAID | 041597900 | BCBS |
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