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Individual
SUSANA RAC
Active
Individual
SUSANA RAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME175935
FL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129488200
—
FL
Enumeration date
03/18/2022
Last updated
02/04/2026
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