Mccormick, Susan Samantha

Mccormick, Susan Samantha is an individual health care provider with primary practice located at 1900 S Tuttle Ave , Sarasota FL 34239-3114. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Mccormick, Susan Samantha can be contacted via phone (941) 330-8885.

Contact Information

Primary practice address
1900 S Tuttle Ave Sarasota FL 34239-3114
Phone: (941) 330-8885
Fax: (941) 906-8774
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X ARNP 9214701 Florida
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X ARPN9214701 Florida

Profile Details

NPI number 1558366336
LBN Legal business name Mccormick, Susan Samantha
Credentials A.R.N.P., C.N.M.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Oct 30th, 2018 - about 6 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 1558366336 NPPES
Florida MEDICAID 3064565 00

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