Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SUSAN C FAIR DO PA
Active
Organization
SUSAN C FAIR DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN C FAIR DO (PRESIDENT)
(321) 455-1226
Entity
Organization
Contact information
Practice address
595 N COURTENAY PKWY, SUITE 102, MERRITT ISLAND, FL 32953-4851
(321) 455-1226
(321) 456-5531
Mailing address
595 N COURTENAY PKWY, SUITE 102, MERRITT ISLAND, FL 32953-4851
(321) 455-1226
(321) 456-5531
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS7489
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS7489
MEDICAL LICENSE
FL
Enumeration date
07/16/2007
Last updated
09/14/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up