Individual
MRS. SUSAN M MCGINNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1951 SW 172ND AVE, SUITE 309, MIRAMAR, FL 33029-5593
(954) 447-2704
(954) 447-2708
Mailing address
2663 IRMA LAKE DRIVE, WEST PALM BEACH, FL 33411
(954) 447-2704
(954) 447-2708
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2041492
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3036529 00
—
FL
Enumeration date
03/26/2007
Last updated
01/13/2009
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