Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | PO 3327 | FL |
NPI | 1043402225 |
---|---|
Provider Name | Dr. Janet Suarez |
First Address | Miami, FL 33186-3502 |
Second Address | Miami, FL 33173-3259 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2007 |
Last Update Date | 10/06/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
340670900 | (05) | FL |
65973 | BCBS (01) | FL |