Individual
SUSAN LIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3723 10TH CT, VERO BEACH, FL 32960-6559
(772) 492-3427
(772) 925-8194
Mailing address
827 18TH ST, VERO BEACH, FL 32960-6481
(772) 925-8200
(772) 925-8199
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME69897
FL
Other
Enumeration date
01/08/2018
Last updated
05/30/2024
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