Individual
JESSICA SUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3415 NW 112TH WAY, CORAL SPRINGS, FL 33065-7095
(954) 292-5352
Mailing address
3415 NW 112TH WAY, CORAL SPRINGS, FL 33065-7095
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
022653
NY
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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