Individual
SUSAN JOANNA BRAZIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
600 UNIVERSITY BLVD., SUITE-200, JUPITER, FL 33458
(561) 627-2210
(561) 627-5850
Mailing address
600 UNIVERSITY BLVD., SUITE-200, JUPITER, FL 33458
(561) 627-2210
(561) 627-5850
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA3369
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA3369
STATE LICENSE
FL
Enumeration date
09/08/2006
Last updated
07/08/2007
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