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NPI Code Detail

MEDICARE: SUZETTE WOOD

MEDICARE: SUZETTE WOOD
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
11835P2201XAmbulatory Care PharmacistPH26670FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1875418OTHERFLNCPDP

General Provider Information

NPI Number : 1366942039
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZETTE WOOD
Provider Business Mailing Address
First Line : 356 E MIDWAY RD
Second Line :
City : FORT PIERCE
State : FL
Zip : 34982-7148
Country : US
Telephone Number : 772-464-9746
Fax Number :
Provider Business Practice Location Address
First Line : 3255 S US HIGHWAY 1 STE 1
Second Line :
City : FORT PIERCE
State : FL
Zip : 34982-6381
Country : US
Telephone Number : 772-464-9746
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2018
Last Update Date : 09/12/2025

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Directions to “ SUZETTE WOOD ” Practice Location

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