Individual
DR. STEVEN J SUKSTORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4511 N DAVIS HWY, STE 1B, PENSACOLA, FL 32503-2720
(850) 484-8454
Mailing address
602 HARBOR BLVD, UNIT 101, DESTIN, FL 32541-2480
(850) 974-1723
(850) 654-5059
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
ME47793
FL
2085N0904X
Nuclear Radiology Physician
ME47793
FL
2085P0229X
Pediatric Radiology Physician
ME47793
FL
2085R0202X
Diagnostic Radiology Physician
Primary
ME47793
FL
2085U0001X
Diagnostic Ultrasound Physician
ME47793
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048546200
—
FL
01
—
E7031A
MEDICARE-IDTF
FL
01
—
Z314
HEALTHEASE MED 3000
FL
Enumeration date
05/20/2006
Last updated
05/06/2021
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