# SUSAN B. PONCY, MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518183185
- **Authorized official:** KAREN BARLOW (OWNER BILLING COMPANY)
- **Authorized official phone:** (561) 748-2889

## Contact information

- **Practice address:** 601 UNIVERSITY BLVD, SUITE 201, JUPITER, FL 33458
- **Practice address phone:** (561) 627-2727
- **Practice address fax:** (561) 627-4327
- **Mailing address:** PO BOX 7240, JUPITER, FL 33468-7240
- **Mailing address phone:** (561) 748-2889
- **Mailing address fax:** (561) 748-1523

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME80003 | FL | Yes |

## Other

- **Enumeration date:** 04/18/2007
- **Last updated:** 08/22/2020