Individual
BERTHA DOLLY SUGERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1585 W 49TH ST, HIALEAH, FL 33012-2924
(305) 512-3640
Mailing address
9020 W THOMAS RD, PHOENIX, AZ 85037-3234
(602) 889-9401
(602) 889-9404
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3382742
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068651
—
AZ
Enumeration date
11/16/2006
Last updated
09/22/2020
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