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400 Gulf Breeze Pkwy Suite 202 Gulf Breeze FL 32561-4495 | |
| (850) 932-5055 | |
| (850) 432-1401 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
| Location | 400 Gulf Breeze Pkwy, Gulf Breeze, Florida |
| Authorized Official Name and Position | David Suhrbier (PROVIDER) |
| Authorized Official Contact | 8509325055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 280 Gulf Breeze FL 32562-0280 Ph: (850) 932-5055 | 400 Gulf Breeze Pkwy Suite 202 Gulf Breeze FL 32561-4495 Ph: (850) 932-5055 |
| NPI Number | 1841569357 |
|---|---|
| Provider Enumeration Date | 12/29/2011 |
| Last Update Date | 12/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841569357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | (* (Not Available)) | Primary |
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