Individual
THOMAS TONY SUSI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
225 E ROBINSON ST STE 220, ORLANDO, FL 32801-4368
(407) 380-9998
Mailing address
82 LINTON RD, PONCE DE LEON, FL 32455-3732
(850) 428-3570
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN9302252
FL
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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