MEDICARE: MRS. SUZANNE ELIZABETH CHEAS MOTR/L

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	225X00000X	Occupational Therapist	14551	FL

General Provider Information

NPI Number	:	1609175215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SUZANNE ELIZABETH CHEAS MOTR/L

Provider Business Mailing Address
First Line	:	2007 SW 102ND TER
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33025-1777
Country	:	US
Telephone Number	:	954-559-9106
Fax Number	:

Provider Business Practice Location Address
First Line	:	3335 N UNIVERSITY DR
Second Line	:	SUITE 5
City	:	HOLLYWOOD
State	:	FL
Zip	:	33024-2200
Country	:	US
Telephone Number	:	954-442-9422
Fax Number	:	954-442-9150

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

Provider Enumeration Date	:	03/22/2011
Last Update Date	:	03/22/2011

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