Dr. Susan M Fraser
Rheumatology
620 10th Street N.
StPetersburg
, Florida 33705-1407
Dr. Susan M Fraser
Rheumatology
620 10th Street N.
StPetersburg
, Florida 33705-1407
(727) 824-3132
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About
Features
Specialties
- Rheumatology
Languages spoken
- English
Location
First Address
- Dr. Susan M Fraser
- Po Box 12868
- St. Petersburg, FL
- Zip : 33733-2868
- Fax : (727) 824-3132
- Phone : (727) 824-8357
Second Address
- Dr. Susan M Fraser
- 620 10th Street N.
- St. Petersburg, FL
- Zip : 33705-1407
- Fax : (727) 824-8347
- Phone : (727) 824-8325
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RR0500X | Rheumatology | ME55701 | FL |
National Provider Identifier
| NPI | 1023003621 |
|---|---|
| Provider Name | Dr. Susan M Fraser |
| First Address | St. Petersburg, FL 33733-2868 |
| Second Address | St. Petersburg, FL 33705-1407 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/09/2005 |
| Last Update Date | 28/01/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 061569201 | (05) | FL |
| E42213 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.