Individual
DR. SUSAN M CONSTANTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
210 RINEHART RD, LAKE MARY, FL 32746-2514
(321) 843-2100
(321) 842-3498
Mailing address
210 RINEHART RD, LAKE MARY, FL 32746-2541
(321) 843-2100
(321) 842-3498
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
24458
NE
207R00000X
Internal Medicine Physician
37621
IA
207RH0003X
Hematology & Oncology Physician
Primary
ME109355
FL
207RX0202X
Medical Oncology Physician
ME109355
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003455800
—
FL
Enumeration date
04/23/2007
Last updated
06/20/2019
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