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Individual

MS. AMBER W SURBER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
7227 N HIGHWAY 1, SUITE 100, PORT ST JOHN, FL 32927-5020
(321) 637-1595
(321) 637-1596
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 637-1595

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME84944
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
FL
Enumeration date
10/02/2006
Last updated
03/19/2020
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