Healthcare Provider Details

I. General information

NPI: 1801136734
Provider Name (Legal Business Name): SUSAN FOX, D.O., LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2013
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8501 SW 124TH AVE SUITE 211
MIAMI FL
33183-4627
US

IV. Provider business mailing address

8501 SW 124TH AVE STE 211
MIAMI FL
33183-4633
US

V. Phone/Fax

Practice location:
  • Phone: 305-595-6488
  • Fax: 305-595-3532
Mailing address:
  • Phone: 305-595-6488
  • Fax: 305-595-3532

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. SUSAN FOX
Title or Position: OWNER
Credential: D.O.
Phone: 305-595-6488