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Organization

SUZANNE PAVLOU MD PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUZANNE PAVLOU MD (MANAGING MEMBER)
(561) 676-7488
Entity
Organization

Contact information

Practice address
9858 CLINT MOORE RD, SUITE C111-236, BOCA RATON, FL 33496-1034
(561) 676-7488
(561) 910-4785
Mailing address
9858 CLINT MOORE RD, SUITE C111-236, BOCA RATON, FL 33496-1034
(561) 676-7488
(561) 910-4785

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME90011
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
270305000
FL
Enumeration date
02/03/2012
Last updated
02/03/2012
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