| Susan Toth D.o.p.a. | |
|
515 W State Road 434 Suite 308 Longwood FL 32750-4981 | |
| (407) 831-2000 | |
| (407) 831-4761 |
| Full Name | Susan Toth D.o.p.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 515 W State Road 434, Longwood, Florida |
| Authorized Official Name and Position | Susan Toth (PRESIDENT) |
| Authorized Official Contact | 4078312000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Toth D.o.p.a. 515 W State Road 434 Suite 308 Longwood FL 32750-4981 Ph: (407) 831-2000 | Susan Toth D.o.p.a. 515 W State Road 434 Suite 308 Longwood FL 32750-4981 Ph: (407) 831-2000 |
| NPI Number | 1063608248 |
|---|---|
| Provider Enumeration Date | 09/20/2007 |
| Last Update Date | 05/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063608248 | NPI | - | NPPES |
| E81265 | Other | FL | UPIN |
| P00177906 | Other | FL | RAILROAD MEDICARE |
| 80719 | Other | FL | BLUE CROSS/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS0006201 (Florida) | Primary |
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