Individual
SUZANNE M. DEMMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
529 HEALTH BLVD, DAYTONA BEACH, FL 32114-1493
(386) 254-1951
(386) 239-9758
Mailing address
3824 OAKWATER CIR, ORLANDO, FL 32806-6263
(407) 425-7188
(407) 423-9040
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME51036
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055626200
—
FL
01
—
180027278
RR MEDICARE
FL
Enumeration date
06/30/2006
Last updated
10/28/2020
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