Individual
SUSANNE M CUBBERLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11972 ORANGE BLOSSOM DR, SEMINOLE, FL 33772-3443
(727) 385-8046
Mailing address
11972 ORANGE BLOSSOM DR, SEMINOLE, FL 33772-3443
(727) 385-8046
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN33667152
FL
376G00000X
Nursing Home Administrator
Primary
151134962
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015342000
—
FL
Enumeration date
10/06/2017
Last updated
10/06/2017
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