Individual
SUSAN M RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1349 SOUTH INTERNATIONAL PARKWAY, SUITE 1411, LAKE MARY, FL 32746
(407) 333-3360
(407) 333-2920
Mailing address
1349 S INTERNATIONAL PKWY, SUITE 1411, LAKE MARY, FL 32746-1697
(407) 333-3360
(407) 333-2920
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9101850
FL
Other
Enumeration date
06/26/2006
Last updated
02/17/2009
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