Individual
DR. DANIEL ANDREW SUSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1475 NW 12TH AVE, SUITE 1177, MIAMI, FL 33136-1002
(305) 243-8644
(305) 243-3762
Mailing address
1500 NW 12TH AVE, JMT EAST-1007, MIAMI, FL 33136-1051
(305) 243-4664
(305) 243-9927
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME0101269
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281172300
—
FL
Enumeration date
05/31/2007
Last updated
01/31/2013
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