Individual
LAURA SUZANNE KAPILI SUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1425 MALABAR RD NE, PALM BAY, FL 32907-2506
(321) 434-8078
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-8078
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME164443
FL
207RG0100X
Gastroenterology Physician
Primary
ME164443
FL
208M00000X
Hospitalist Physician
ME164443
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121755100
—
FL
01
—
VW543
MEDICARE HF
FL
Enumeration date
03/21/2019
Last updated
08/18/2025
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