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Individual

DR. RENE A SUEIRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
14405 ARBOR GREEN TRL, LAKEWOOD RANCH, FL 34202-8409
(941) 917-7080
(941) 917-7085
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
ME102035
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000110100
FL
01
321345
AVMED
FL
01
33181
FLORIDA BLUE
FL
01
3463332
CIGNA
FL
01
48727
BLUE CROSS/BLUE SHIELD
FL
01
512280
STAYWELL/HEALTHEASE
FL
01
9731241
AETNA
FL
Enumeration date
04/06/2007
Last updated
07/12/2019
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