Individual
SUZANNE FURLONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 LEXINGTON GREEN LN, SANFORD, FL 32771-1013
(407) 688-0070
Mailing address
1200 LEXINGTON GREEN LN, SANFORD, FL 32771-1013
(407) 688-0070
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
12643
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
686675
MEDICARE
FL
Enumeration date
03/28/2013
Last updated
03/28/2013
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