Individual
SUSAN B BLAUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1223 GATEWAY DR, MELBOURNE, FL 32901-2607
(321) 984-3885
(321) 984-8483
Mailing address
1223 GATEWAY DR, MELBOURNE, FL 32901-2607
(321) 984-3885
(321) 984-8483
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY495
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00093739
RR MEDICARE
FL
Enumeration date
05/05/2006
Last updated
04/19/2010
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