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NPI Code Detail

MEDICARE: SUZETTE MARSEILLE FNP-BC

MEDICARE: SUZETTE MARSEILLE 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
1363LF0000XFamily Nurse PractitionerAPRN11024248FL

General Provider Information

NPI Number : 1215643358
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZETTE MARSEILLE FNP-BC
Provider Business Mailing Address
First Line : 1900 NW 98TH AVE
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33024-1454
Country : US
Telephone Number : 954-709-4691
Fax Number :
Provider Business Practice Location Address
First Line : 3801 HOLLYWOOD BLVD STE 300
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-6756
Country : US
Telephone Number : 866-284-8788
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2023
Last Update Date : 04/20/2024

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Directions to “ SUZETTE MARSEILLE FNP-BC” Practice Location

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