Individual
SUSAN CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDD
Contact information
Practice address
12201 RESEARCH PKWY, SUITE 300, ORLANDO, FL 32826-3298
(407) 823-6274
(407) 823-5508
Mailing address
12201 RESEARCH PKWY, SUITE 300, ORLANDO, FL 32826-3298
(407) 823-6274
(407) 823-5508
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
704662
FL
Other
Enumeration date
10/23/2013
Last updated
10/23/2013
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