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NPI 1487185351

NPI 1487185351 : SUSANNA ZORN MD : TALLAHASSEE, FL

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General NPI Number Information
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    NPI Number           |    1487185351
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    Entity Type          |    Individual 
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    Provider Name        |    SUSANNA ZORN MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/23/2017
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    Last Update Date     |    08/20/2025
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Provider Practice Location Address
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    Address Line         |    3334 CAPITAL MEDICAL BLVD STE 400 
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    City                 |    TALLAHASSEE
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    State                |    FL
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    Zip                  |    32308-4470
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    Country              |    US
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    Telephone            |    850-877-8174
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    Fax                  |    844-261-6839
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Provider Business Mailing Address
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    Address Line         |    3334 CAPITAL MEDICAL BLVD STE 400 
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    City                 |    TALLAHASSEE
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    State                |    FL
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    Zip                  |    32308-4470
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    Country              |    US
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    Telephone            |    850-877-8174
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    ME145532
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    207QS0010X
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    Taxonomy Name        |    Sports Medicine (Family Medicine) Physician
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    License Number       |    ME145532
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    License Number State |    FL
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