Individual
DR. DAVID IRA SUCHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1212 NW 12TH AVE, SUITE C-2, GAINESVILLE, FL 32601-3032
(352) 338-1212
(352) 392-8452
Mailing address
1212 NW 12TH AVE, SUITE C-2, GAINESVILLE, FL 32601-4133
(352) 338-1212
(352) 392-8452
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY 2797
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75210
BLUE CROSS-BLUE SHIELD
FL
Enumeration date
05/08/2007
Last updated
10/15/2007
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