Keith S. Susko
Physical Medicine & Rehabilitation Doctor Pain Medicine
4977 Royal Gulf Cir
Fort Myers
, Florida 33966-7006
Keith S. Susko
Physical Medicine & Rehabilitation Doctor Pain Medicine
4977 Royal Gulf Cir
Fort Myers
, Florida 33966-7006
(239) 489-0077
Write a Review Share Save Call
About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
- Pain Medicine
Languages spoken
- English
Location
First Address
- Keith S. Susko
- Po Box 222
- Estero, FL
- Zip : 33929-0222
- Fax : (239) 489-0077
- Phone : (239) 226-0077
Second Address
- Keith S. Susko
- 4977 Royal Gulf Cir
- Fort Myers, FL
- Zip : 33966-7006
- Fax : (239) 489-0077
- Phone : (239) 226-0077
Reviews
FAQs
Where did Keith S. Susko attend graduate school?
Where did Keith S. Susko do his residency?
Where did Keith S. Susko do his fellowship?
Is Keith S. Susko board certified?
What type of doctor is Keith S. Susko
In what state does Keith S. Susko practice in?
Where is Keith S. Susko ’s practice located?
What is Keith S. Susko ’s gender?
Is Keith S. Susko a sole practitioner?
Is Keith S. Susko accepting new patients?
What languages does Keith S. Susko speak?
Does Keith S. Susko accept insurance?
Does Keith S. Susko offers telemedicine?
What is Keith S. Susko ’s professional license number?
What is Keith S. Susko ’s NPI number?
Does Keith S. Susko have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | ME85368 | FL |
| N | 2081P2900X | Pain Medicine | ME85368 | FL |
National Provider Identifier
| NPI | 1275595159 |
|---|---|
| Provider Name | Keith S. Susko |
| First Address | Estero, FL 33929-0222 |
| Second Address | Fort Myers, FL 33966-7006 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/04/2006 |
| Last Update Date | 18/07/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 17033 | BCBS (01) | FL |
| 17033X | MEDICARE (01) | FL |
| 2658666-00 | (05) | 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.