| Suzanna Dotson Md Pa | |
|
18222 Sw 25th St Miramar FL 33029-5183 | |
| (954) 328-2966 | |
| (954) 704-0882 |
| Full Name | Suzanna Dotson Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 18222 Sw 25th St, Miramar, Florida |
| Authorized Official Name and Position | Suzanna Dotson (OWNER) |
| Authorized Official Contact | 9543282966 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suzanna Dotson Md Pa 18222 Sw 25th St Miramar FL 33029-5183 Ph: (954) 328-2966 | Suzanna Dotson Md Pa 18222 Sw 25th St Miramar FL 33029-5183 Ph: (954) 328-2966 |
| NPI Number | 1205169158 |
|---|---|
| Provider Enumeration Date | 09/10/2009 |
| Last Update Date | 09/10/2009 |
| Medicare PECOS PAC ID | 0941341135 |
|---|---|
| Medicare Enrollment ID | O20100111000210 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205169158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Suzanna Dotson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376753822 PECOS PAC ID: 4587705777 Enrollment ID: I20100111000201 |
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