Organization
CHARLES SUIVSKI OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA SUIVSKI (ADMINISTRATIVE SUPERVISOR)
(772) 286-9233
Entity
Organization
Contact information
Practice address
2341 SE FEDERAL HWY, STUART, FL 34994-4528
(772) 283-4240
(772) 221-2422
Mailing address
2341 SE FEDERAL HWY, STUART, FL 34994-4528
(772) 283-4240
(772) 221-2422
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2457
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20220
BCBS PROVIDER I.D.
FL
Enumeration date
02/01/2008
Last updated
04/20/2008
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