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Organization

SUSANA T. DONAIRE, MD, PA

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Organization

SUSANA T. DONAIRE, MD, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SUSANA T DONAIRE MD (MEDICAL DOCTOR)
(352) 564-8620
Entity
Organization

Contact information

Practice address
255 SE 7TH AVE, SUITE 1, CRYSTAL RIVER, FL 34429-4848
(352) 564-8620
(352) 564-9278
Mailing address
255 SE 7TH AVE, SUITE 1, CRYSTAL RIVER, FL 34429-4848
(352) 564-8620
(352) 564-9278

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME#0045956
FL

Other

Enumeration date
10/29/2010
Last updated
01/23/2012
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