Individual
DR. SUSAN M FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
620 10TH STREET N., ST. PETERSBURG, FL 33705-1407
(727) 824-8325
(727) 824-8347
Mailing address
PO BOX 12868, ST. PETERSBURG, FL 33733-2868
(727) 824-8357
(727) 824-3132
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
ME55701
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061569201
—
FL
Enumeration date
09/20/2005
Last updated
01/28/2015
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