Individual
DR. SUSAN M THIBAULT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1600 TOWN CENTER CIR, SUITE C, WESTON, FL 33326-3641
(954) 349-2441
(954) 349-7161
Mailing address
3733 NE 201ST ST, AVENTURA, FL 33180-3415
(954) 349-2441
(954) 349-7161
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3065
FL
Other
Enumeration date
05/10/2006
Last updated
07/08/2007
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