Healthcare Provider Details

I. General information

NPI: 1134360720
Provider Name (Legal Business Name): SUZANNE ANTOINETTE BAKER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SUZANNE A. PALOMINO ARNP

II. Dates (important events)

Enumeration Date: 03/12/2009
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5208 NW 109TH WAY
CORAL SPRINGS FL
33076-2748
US

IV. Provider business mailing address

5208 NW 109TH WAY
CORAL SPRINGS FL
33076-2748
US

V. Phone/Fax

Practice location:
  • Phone: 954-599-2171
  • Fax: 954-584-2274
Mailing address:
  • Phone: 954-599-2171
  • Fax: 954-584-2274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberAPRN9185117
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN9185117
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP9185117
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: