Individual
DR. SUZANNE RUSS YODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 376-3800
(904) 376-3998
Mailing address
2995 DREW ST, CLEARWATER, FL 33759-3012
(727) 315-7496
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME123335
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017491900
—
FL
Enumeration date
03/19/2007
Last updated
11/05/2024
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