Healthcare Provider Details

I. General information

NPI: 1811810468
Provider Name (Legal Business Name): SUZANNE VAN VALKENBURGH MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4650 N DIXIE HWY
OAKLAND PARK FL
33334-3925
US

IV. Provider business mailing address

1323 SE 17TH ST UNIT 2080
FORT LAUDERDALE FL
33316-1707
US

V. Phone/Fax

Practice location:
  • Phone: 954-233-0785
  • Fax:
Mailing address:
  • Phone: 443-910-6567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: SUZANNE VAN VALKENBURGH
Title or Position: MANAGING MEMBER
Credential: MD
Phone: 443-910-6567