Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | ME85704 | FL |
NPI | 1750335543 |
---|---|
Provider Name | Dr. Yvette M Suarez |
First Address | Land O Lakes, FL 34639-0913 |
Second Address | Wesley Chapel, FL 33544-8101 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2006 |
Last Update Date | 20/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
266837800 | (05) | FL |
78609 | BCBS OF FLORIDA (01) | FL |
H84582 | (02) |