Individual
ASHLYN SUNSERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1223 GATEWAY DR, MELBOURNE, FL 32901-2607
(321) 549-0817
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 549-0817
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9114133
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109818500
—
FL
01
—
NM330
FL MEDICARE
FL
Enumeration date
02/25/2021
Last updated
04/01/2021
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