Millan, Susan Bonkemeyer
Millan, Susan Bonkemeyer is an individual health care provider with primary practice located at 3951 Nw 48Th Ter Suite 211, Gainesville FL 32606-7228. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Millan, Susan Bonkemeyer can be contacted via phone (352) 265-4450.Contact Information
Primary practice address
3951 Nw 48Th Ter Suite 211
Gainesville FL 32606-7228
Phone: (352) 265-4450
Fax: (352) 265-4451
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 69357 | Georgia |
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 2083P0011X | ME53060 | Florida |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 53060 | Florida |
Profile Details
NPI number | 1336290782 |
---|---|
LBN Legal business name | Millan, Susan Bonkemeyer |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 14th, 2007 |
Last updated | Sep 24th, 2019 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1336290782 | NPPES |
Florida | MEDICAID | 002823500 |
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