Individual
MAUREEN F. SUCHENSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 425-2285
(386) 425-7522
Mailing address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 226-4590
(386) 226-3371
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
253625
MA
207P00000X
Emergency Medicine Physician
Primary
ME137483
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110095550A
—
MA
Enumeration date
06/25/2009
Last updated
12/21/2018
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