# DR. SUSAN J FOSNOT

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

## Provider details

- **NPI number:** 1588637565
- **Gender:** F
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 058516 | FL | Yes |

## Other

- **Enumeration date:** 02/09/2006
- **Last updated:** 06/12/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1215135090 | GROUP NPI | FL |
| 01 | — | 1871572032 | COMMERCIAL | FL |
| 05 | — | 251910100 | — | FL |
| 05 | — | 251910101 | — | FL |