MEDICARE: SUSAN M DEWITT ARNP-C

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
1	363LF0000X	Family Nurse Practitioner	ARNP1259822	FL

General Provider Information

NPI Number	:	1467422717
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN M DEWITT ARNP-C

Provider Business Mailing Address
First Line	:	1895 KINGSLEY AVE
Second Line	:	SUITE 303
City	:	ORANGE PARK
State	:	FL
Zip	:	32073-4466
Country	:	US
Telephone Number	:	904-272-6161
Fax Number	:

Provider Business Practice Location Address
First Line	:	1895 KINGSLEY AVENUE
Second Line	:	SUITE 303
City	:	ORANGE PARK
State	:	FL
Zip	:	32073-4466
Country	:	US
Telephone Number	:	904-272-6161
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2006
Last Update Date	:	02/08/2017

Similar Medicare Providers

1174798433 — ORANGE COUNTY NEWBORN MEDICARE CARE PC
Practice Location Address:

3 SAINT STEPHENS PL , SUITE 2
WARWICK, NY
10990-3208

Practice Phone: 845-987-9700
Practice Fax:

1891786059 — VICTOR A MAQUERA MD
Practice Location Address:

1895 KINGSLEY AVE , STE 903
ORANGE PARK, FL
32073-4466

Practice Phone: 904-276-1663
Practice Fax: 904-276-2469

1902876253 — MOLLY LENAHAN P.A.-C
Practice Location Address:

1895 KINGSLEY AVE , SUITE 303
ORANGE PARK, FL
32073-4466

Practice Phone: 904-272-6161
Practice Fax:

1851366090 — DR. FRANCIS DUCOSIN ONG M.D.
Practice Location Address:

1895 KINGSLEY AVE , SUITE 403
ORANGE PARK, FL
32073-4466

Practice Phone: 904-421-2119
Practice Fax:

1548295850 — INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC
Practice Location Address:

1895 KINGSLEY AVE , SUITE 600
ORANGE PARK, FL
32073-4466

Practice Phone: 904-276-2303
Practice Fax: 904-276-4927

1699783357 — ERIC FERGUSON
Practice Location Address:

1895 KINGSLEY AVE , SUITE 300
ORANGE PARK, FL
32073-4466

Practice Phone: 904-276-2549
Practice Fax:

Directions to “ SUSAN M DEWITT ARNP-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.