Individual
SUSAN MARGARET DETAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFM
Contact information
Practice address
101 SUNSET PT, PALATKA, FL 32177-9018
(386) 328-9424
(386) 328-9470
Mailing address
101 SUNSET PT, PALATKA, FL 32177-9018
(386) 328-9424
(386) 328-9470
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
08/17/2006
Last updated
03/29/2023
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