| Susana May Md Llc | |
|
5701 Overseas Hwy Suite 17 Marathon FL 33050-2784 | |
| (305) 743-2253 | |
| (305) 743-5383 |
| Full Name | Susana May Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5701 Overseas Hwy, Marathon, Florida |
| Authorized Official Name and Position | Susana May (SOLE MBR) |
| Authorized Official Contact | 3058527490 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susana May Md Llc Po Box 739 Tavernier FL 33070-0739 Ph: (305) 852-7490 | Susana May Md Llc 5701 Overseas Hwy Suite 17 Marathon FL 33050-2784 Ph: (305) 743-2253 |
| NPI Number | 1730315128 |
|---|---|
| Provider Enumeration Date | 05/31/2009 |
| Last Update Date | 05/31/2009 |
| Medicare PECOS PAC ID | 5698814093 |
|---|---|
| Medicare Enrollment ID | O20091124000487 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730315128 | NPI | - | NPPES |
| 18085 | Other | FL | BCBS |
| 370998100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | ME62312 (Florida) | Primary |
| Provider Name | Susana May |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053383703 PECOS PAC ID: 4587657184 Enrollment ID: I20061211000374 |
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