Individual
SUSAN A HUSSEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
92 W MILLER ST, ORLANDO, FL 32806-2032
(321) 841-4607
(321) 841-4603
Mailing address
92 W MILLER ST, ORLANDO, FL 32806-2032
(321) 841-4607
(321) 841-4603
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME100379
FL
207LP3000X
Pediatric Anesthesiology Physician
35079940
OH
207LP3000X
Pediatric Anesthesiology Physician
Primary
ME100379
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280156600
—
FL
01
—
ME100379
MEDICAL LICENSE
FL
Enumeration date
05/03/2006
Last updated
11/10/2016
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