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NPI Code Detail

MEDICARE: MRS. SUSAN J PETERS APRN, FNP-BC

MEDICARE:  MRS. SUSAN J PETERS  APRN, FNP-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
1363L00000XNurse PractitionerAPRN11040904FL
2363LF0000XFamily Nurse PractitionerAPRN11040904FL

General Provider Information

NPI Number : 1154207314
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SUSAN J PETERS APRN, FNP-BC
Provider Business Mailing Address
First Line : 7595 SW 33RD ST STE 204
Second Line :
City : DAVIE
State : FL
Zip : 33314-7708
Country : US
Telephone Number : 954-470-0270
Fax Number : 954-262-6293
Provider Business Practice Location Address
First Line : 7595 SW 33RD ST STE 204
Second Line :
City : DAVIE
State : FL
Zip : 33314-7708
Country : US
Telephone Number : 954-815-6519
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2025
Last Update Date : 01/08/2026

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Directions to “ MRS. SUSAN J PETERS APRN, FNP-BC” Practice Location

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