Healthcare Provider Details

I. General information

NPI: 1538152152
Provider Name (Legal Business Name): JULIAN STEPHEN SUHRER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 08/30/2005
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3627 UNIVERSITY BLVD S #340
JACKSONVILLE FL
32216-4294
US

IV. Provider business mailing address

3627 UNIVERSITY BLVD S #340
JACKSONVILLE FL
32216-4294
US

V. Phone/Fax

Practice location:
  • Phone: 904-396-3518
  • Fax: 904-398-5066
Mailing address:
  • Phone: 904-396-3518
  • Fax: 904-398-5066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberME0025921
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: