Individual
DR. ERIC ALONSO SUESCUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1921 WALDEMERE ST, SUITE 504, SARASOTA, FL 34239-2943
(941) 917-1579
(941) 917-4340
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
022991
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33181
BCBS
FL
Enumeration date
09/27/2006
Last updated
05/09/2016
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