Individual
SUZANNE F BEAVERS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 PINELLAS ST, CLEARWATER, FL 33756-3804
(727) 461-8537
Mailing address
PO BOX 850001, ORLANDO, FL 32885-0001
(904) 482-1070
(904) 482-1077
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME0078389
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46804
BLUE SHIELD OF FL
FL
Enumeration date
06/17/2006
Last updated
07/09/2007
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