Individual
J RICHARD SUSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7326 LAKE UNDERHILL RD, ORLANDO, FL 32822-6055
(407) 380-2020
(407) 381-8112
Mailing address
7326 LAKE UNDERHILL RD, ORLANDO, FL 32822-6055
(407) 380-2020
(407) 381-8112
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
OS4893
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078374900
—
FL
Enumeration date
06/14/2005
Last updated
02/28/2013
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