MEDICARE: SUZMED LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	363LP2300X	Primary Care Nurse Practitioner
2	363L00000X	Nurse Practitioner
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144895988
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUZMED LLC

Provider Business Mailing Address
First Line	:	5208 NW 109TH WAY
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33076-2748
Country	:	US
Telephone Number	:	954-599-2171
Fax Number	:

Provider Business Practice Location Address
First Line	:	4850 N STATE ROAD 7 STE 101
Second Line	:
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33319-5807
Country	:	US
Telephone Number	:	954-599-2171
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SUZANNE ANTOINETTE BAKER
Credential	:	DNP, ARNP
Telephone Number	:	954-599-2171

Provider Enumeration Date	:	05/24/2021
Last Update Date	:	01/12/2026

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Directions to “SUZMED LLC ” Practice Location

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