Ponce, Susana Fiorella

Ponce, Susana Fiorella is an sole proprietor health care provider with primary practice located at 11641 Kew Gardens Ave Ste 205 , Palm Beach Gardens FL 33410-2846. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Infusion Therapy, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ponce, Susana Fiorella can be contacted via phone (561) 337-4055.

Contact Information

Primary practice address
11641 Kew Gardens Ave Ste 205 Palm Beach Gardens FL 33410-2846
Phone: (561) 337-4055
Fax: (561) 516-6626
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Infusion Therapy 163WI0500X 9374806 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN11019171 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11019171 Florida

Profile Details

NPI number 1023756897
LBN Legal business name Ponce, Susana Fiorella
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2022
Last updated Mar 21st, 2024 - about 9 months 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 1023756897 NPPES
Florida MEDICAID 114739900

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