Individual
DR. INGRID MARIA SUAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
14615 CRESCENT ROCK DR, WIMAUMA, FL 33598-6186
(813) 898-3536
Mailing address
14615 CRESCENT ROCK DR, WIMAUMA, FL 33598-6186
(813) 453-0028
(205) 961-5119
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11024608
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
NP95029528
CA
Other
Enumeration date
11/24/2019
Last updated
10/09/2025
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