Individual
SUSAN B KESMODEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 243-4902
Mailing address
1400 NW 12TH AVENUE, MIAMI, FL 33136
(305) 243-4902
(305) 243-4907
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME131403
FL
2086X0206X
Surgical Oncology Physician
Primary
ME131403
FL
Other
Enumeration date
09/21/2006
Last updated
04/28/2023
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