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Individual
CHARLES SUIVSKI
Active
Individual
CHARLES SUIVSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2457
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20220
BCBS PROVDER I.D.
FL
Enumeration date
07/18/2005
Last updated
02/01/2008
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