Individual
JOSE SUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.T. (R)(T)
Contact information
Practice address
801 N MIDLAND DR, DELTONA, FL 32725-5622
(386) 232-4017
Mailing address
801 N MIDLAND DR, DELTONA, FL 32725-5622
(386) 232-4017
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
437950
FL
2471R0002X
Radiation Therapy Radiologic Technologist
Primary
437950
FL
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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