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NPI Code Detail

MEDICARE: MRS. SUZANNE KORUM ARNP-BC

MEDICARE: MRS. SUZANNE KORUM ARNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse PractitionerARNP1853762FL

General Provider Information

NPI Number : 1093149569
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SUZANNE KORUM ARNP-BC
Provider Business Mailing Address
First Line : 6101 BLUE LAGOON DR STE 200
Second Line :
City : MIAMI
State : FL
Zip : 33126-3168
Country : US
Telephone Number : 305-500-2000
Fax Number :
Provider Business Practice Location Address
First Line : 20 CYPRESS POINT PKWY STE A
Second Line :
City : PALM COAST
State : FL
Zip : 32164-7528
Country : US
Telephone Number : 386-586-7005
Fax Number : 844-867-3940
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2013
Last Update Date : 01/16/2025

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Directions to “ MRS. SUZANNE KORUM ARNP-BC” Practice Location

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