Individual
MS. SUSAN S BINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7728 PALM RIVER RD, TAMPA, FL 33619-4215
(813) 653-6100
(813) 938-6428
Mailing address
13110 ELK MOUNTAIN DR, RIVERVIEW, FL 33579-7182
(813) 349-7568
(813) 349-7561
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
ARNP2980002
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305059900
—
FL
Enumeration date
08/16/2006
Last updated
03/26/2018
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