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NPI Code Detail

MEDICARE: CARL SUCHAR DO PA

MEDICARE: CARL SUCHAR DO PA
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
1207R00000XInternal Medicine PhysicianOS4708FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558558866
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARL SUCHAR DO PA
Provider Business Mailing Address
First Line : 613 S MYRTLE AVE
Second Line :
City : CLEARWATER
State : FL
Zip : 33756-5615
Country : US
Telephone Number : 727-441-1451
Fax Number : 727-446-9528
Provider Business Practice Location Address
First Line : 613 S MYRTLE AVE
Second Line :
City : CLEARWATER
State : FL
Zip : 33756-5615
Country : US
Telephone Number : 727-441-1451
Fax Number : 727-446-9528
Authorized Official
Title or Position : PRESIDENT
Name : DR. CARL SUCHAR
Credential : D.O.
Telephone Number : 727-441-1451
Provider Enumeration Date : 10/01/2007
Last Update Date : 07/07/2008

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