O'Toole-Evans, Susan Bauer

O'Toole-Evans, Susan Bauer is an individual health care provider with primary practice located at 400 Avenue K Se Ste 6 , Winter Haven FL 33880-4123. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. O'Toole-Evans, Susan Bauer can be contacted via phone (863) 299-4567.

Contact Information

Primary practice address
400 Avenue K Se Ste 6 Winter Haven FL 33880-4123
Phone: (863) 299-4567
Fax: (863) 297-9750
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME57743 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME57743 Florida
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME57743 Florida

Profile Details

NPI number 1750463980
LBN Legal business name O'Toole-Evans, Susan Bauer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Apr 26th, 2019 - about 5 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 1750463980 NPPES
Florida Other ME57743 MEDICAL LICENSE NUMBER
Florida MEDICAID 063869200 MEDICAL LICENSE NUMBER

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