Individual
SUZANNE JAEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3006 JOSIE BILLIE AVE, HOLLYWOOD, FL 33024-2918
(954) 962-2009
Mailing address
19101 MYSTIC POINTE DR, #2309, AVENTURA, FL 33180-4512
(954) 296-7061
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9101127
FL
Other
Enumeration date
01/14/2013
Last updated
01/14/2013
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