Susan C Fair Do Pa

LBN: Susan C Fair Do Pa
Susan C Fair Do Pa is an health care organization with primary practice located at 595 N Courtenay Pkwy Suite 102, Merritt Island FL 32953-4851. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Susan C Fair Do Pa can be contacted via phone (321) 455-1226, or through Fair, Susan C via phone (321) 455-1226.

Contact Information

Primary practice address
595 N Courtenay Pkwy Suite 102 Merritt Island FL 32953-4851
Phone: (321) 455-1226
Fax: (321) 456-5531
Website:
Map and Directions
Authorized official contact:
Name: Fair, Susan C Doctor of Osteopathy (DO)
Phone: (321) 455-1226

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS7489 Florida

Profile Details

NPI number 1407055874
LBN Legal business name Susan C Fair Do Pa
DBA Doing business as
Authorized official Fair, Susan C Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2007
Last updated Sep 14th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407055874 NPPES
Florida Other OS7489 MEDICAL LICENSE

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