Individual
MRS. SUZANNE LYNNE WELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CST/CFA
Contact information
Practice address
21254 PEACHLAND BLVD, PORT CHARLOTTE, FL 33954-3849
(941) 743-5741
Mailing address
PO BOX 380535, MURDOCK, FL 33938-0535
(941) 743-5741
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
113007
FL
246ZS0410X
Surgical Technologist
93638
FL
Other
Enumeration date
02/13/2009
Last updated
02/13/2009
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