# DR. SUSAN RAE BASKIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1407178858
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 162588 | FL | Yes |
| 261QM2500X | Medical Specialty Clinic/Center | 162588 | FL | Yes |

## Other

- **Enumeration date:** 02/25/2010
- **Last updated:** 04/16/2026
