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General NPI Number Information
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NPI Number | 1730315128
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Entity Type | Organization
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Legal Business Name | SUSANA MAY MD LLC
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Dates
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Enumeration Date | 05/31/2009
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Last Update Date | 05/31/2009
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Provider Practice Location Address
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Address Line | 5701 OVERSEAS HWY SUITE 17
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City | MARATHON
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State | FL
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Zip | 33050-2784
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Country | US
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Telephone | 305-743-2253
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Fax | 305-743-5383
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Provider Business Mailing Address
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Address Line | PO BOX 739
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City | TAVERNIER
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State | FL
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Zip | 33070-0739
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Country | US
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Telephone | 305-852-7490
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Fax | 305-743-5383
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Authorized Official
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Title or Position | SOLE MBR
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Name | DR. SUSANA MAY
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Credential | MD
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Telephone | 305-852-7490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | ME62312
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License Number State | FL
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