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NPI Code Detail

MEDICARE: MS. ABBE SUSSMAN MSW

MEDICARE:  MS. ABBE  SUSSMAN  MSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerSW2121FL

General Provider Information

NPI Number : 1003820846
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ABBE SUSSMAN MSW
Provider Business Mailing Address
First Line : 1951 NW 17TH AVENUE
Second Line :
City : MIAMI
State : FL
Zip : 33125
Country : US
Telephone Number : 305-774-9570
Fax Number :
Provider Business Practice Location Address
First Line : 1951 NW 17TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33125-1547
Country : US
Telephone Number : 305-774-9570
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2006
Last Update Date : 05/03/2016

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Directions to “ MS. ABBE SUSSMAN MSW” Practice Location

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