Individual
KEITH S. SUSKO
Active
Individual
KEITH S. SUSKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME85368
FL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
ME85368
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17033
BCBS
FL
01
—
17033X
MEDICARE
FL
05
—
2658666-00
—
FL
Enumeration date
04/05/2006
Last updated
09/26/2023
Update your record
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