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Organization

DR THOMAS C SUITS MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS C SUITS MD PA (OWNER)
(772) 220-9871
Entity
Organization

Contact information

Practice address
401 E OSCEOLA ST, SUITE 200, STUART, FL 34994-2503
(772) 220-9871
Mailing address
401 SE OSCEOLA ST, SUITE 200, STUART, FL 34994-2503
(772) 220-9871

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0057977
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
260939300
FL
01
CB6757
RAILROAD MEDICARE
FL
Enumeration date
12/17/2007
Last updated
06/04/2009
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