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General NPI Number Information
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NPI Number | 1144895988
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Entity Type | Organization
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Legal Business Name | SUZMED LLC
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Dates
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Enumeration Date | 05/24/2021
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 4850 N STATE ROAD 7 STE 101
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33319-5807
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Country | US
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Telephone | 954-599-2171
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Fax |
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Provider Business Mailing Address
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Address Line | 5208 NW 109TH WAY
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City | CORAL SPRINGS
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State | FL
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Zip | 33076-2748
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Country | US
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Telephone | 954-599-2171
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SUZANNE ANTOINETTE BAKER
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Credential | DNP, ARNP
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Telephone | 954-599-2171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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