Healthcare Provider Details

I. General information

NPI: 1255252938
Provider Name (Legal Business Name): KASSANDRA KATHERINE SUAREZ MSN, APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9945 MARLIN RD
CUTLER BAY FL
33157-8650
US

IV. Provider business mailing address

9945 MARLIN RD
CUTLER BAY FL
33157-8650
US

V. Phone/Fax

Practice location:
  • Phone: 786-762-7107
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2025064744
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: