Healthcare Provider Details

I. General information

NPI: 1871618355
Provider Name (Legal Business Name): SUSAN BUESE RRT,NPS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SUSAN LAWLOR RRT

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 PINELLAS ST
CLEARWATER FL
33756-3804
US

IV. Provider business mailing address

2603 JAYS NEST LN
HOLIDAY FL
34691-8760
US

V. Phone/Fax

Practice location:
  • Phone: 727-462-7740
  • Fax:
Mailing address:
  • Phone: 727-942-9467
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License NumberRT3886
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: