Villalobos, Suzanne Elaine

Villalobos, Suzanne Elaine is an individual health care provider with primary practice located at 549 N Bert Fish Dr , Deland FL 32724-3509. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Villalobos, Suzanne Elaine can be contacted via phone (386) 822-8150.

Contact Information

Primary practice address
549 N Bert Fish Dr Deland FL 32724-3509
Phone: (386) 822-8150
Fax: (386) 822-8152
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA 9102046 Florida

Profile Details

NPI number 1316021777
LBN Legal business name Villalobos, Suzanne Elaine
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Sep 13th, 2012 - about 12 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 1316021777 NPPES
Florida MEDICAID 001638300

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