MEDICARE: SUZETTE BALL ARNP

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
1	363LF0000X	Family Nurse Practitioner	ARNP1269462	FL

General Provider Information

NPI Number	:	1205083870
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUZETTE BALL ARNP

Provider Business Mailing Address
First Line	:	9663 WESTVIEW DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33076-2513
Country	:	US
Telephone Number	:	954-757-0140
Fax Number	:	954-757-0150

Provider Business Practice Location Address
First Line	:	9663 WESTVIEW DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33076-2513
Country	:	US
Telephone Number	:	954-757-0140
Fax Number	:	954-757-0150

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2008
Last Update Date	:	08/24/2009

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Directions to “ SUZETTE BALL ARNP” Practice Location

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