Individual
SUSAN R MAREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D., CCC-A
Contact information
Practice address
1314 PINE ST, MELBOURNE, FL 32901-3117
(321) 802-6697
Mailing address
1314 PINE ST, MELBOURNE, FL 32901-3117
(321) 802-6697
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY2145
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AY2145
LICENSED AUDIOLOGIST
FL
Enumeration date
02/19/2007
Last updated
10/10/2017
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