Healthcare Provider Details

I. General information

NPI: 1376753822
Provider Name (Legal Business Name): SUZANNA DOTSON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10041 PINES BLVD STE A
PEMBROKE PINES FL
33024-6170
US

IV. Provider business mailing address

10041 PINES BLVD STE A
PEMBROKE PINES FL
33024-6170
US

V. Phone/Fax

Practice location:
  • Phone: 954-328-3768
  • Fax: 754-209-7376
Mailing address:
  • Phone: 954-328-3768
  • Fax: 754-209-7376

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number17914
License Number StateNH
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number82168
License Number StateSC
# 4
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberMD.51746
License Number StateAL
# 5
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME105311
License Number StateFL
# 6
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number17914
License Number StateNH
# 7
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number35.136218
License Number StateOH
# 8
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number82168
License Number StateSC
# 9
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD.51746
License Number StateAL
# 10
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD22493
License Number StateME
# 11
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberEMC0007327
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: