Individual
MS. SUSAN DUBINSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1621 NE WALDO RD, TACACHALE MEDICAL SERVICES, GAINESVILLE, FL 32609-3900
(352) 955-5893
Mailing address
1310 NW 25TH TER, GAINESVILLE, FL 32605-5117
(352) 955-5893
(352) 373-5326
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA003467
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA003467
FLORIDA LISC. NUMBER
FL
Enumeration date
12/20/2006
Last updated
12/02/2010
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