Healthcare Provider Details

I. General information

NPI: 1538102702
Provider Name (Legal Business Name): SUZIE RICHARDSON ARMAS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 04/14/2025
Certification Date: 04/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6300 NE 2ND AVE
MIAMI FL
33138-6005
US

IV. Provider business mailing address

6300 NE 2ND AVE
MIAMI FL
33138-6005
US

V. Phone/Fax

Practice location:
  • Phone: 305-754-8966
  • Fax: 305-754-4063
Mailing address:
  • Phone: 305-154-8966
  • Fax: 305-754-4063

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA9101390
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: