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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467473496 NPPES
Florida Other 14120 BCBS
Florida MEDICAID 00379057A BCBS
Florida MEDICAID 041597900 BCBS

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