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Individual

SUSAN F NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
6221 NW 36TH ST, VIRGINIA GARDENS, FL 33166-7026
(305) 871-3627
(305) 871-7569
Mailing address
4483 NW 36TH ST, SUITE 120, MIAMI SPRINGS, FL 33166-7260
(305) 888-7555
(305) 888-7404

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS 6525
FL
208D00000X
General Practice Physician
OS 6525
FL

Other

Enumeration date
07/11/2007
Last updated
08/01/2014
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