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NPI Code Detail

MEDICARE: SHERRY CAROL SUSSMAN M.D.

MEDICARE: SHERRY CAROL SUSSMAN M.D.
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
1207Q00000XFamily Medicine Physician48080FL

General Provider Information

NPI Number : 1528159845
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERRY CAROL SUSSMAN M.D.
Provider Business Mailing Address
First Line : 1979 W HILLSBORO BLVD
Second Line : SUITE 1
City : DEERFIELD BEACH
State : FL
Zip : 33442-1444
Country : US
Telephone Number : 954-428-4800
Fax Number :
Provider Business Practice Location Address
First Line : 1979 W HILLSBORO BLVD
Second Line : SUITE 1
City : DEERFIELD BEACH
State : FL
Zip : 33442-1444
Country : US
Telephone Number : 954-428-4800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2006
Last Update Date : 06/24/2008

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Directions to “ SHERRY CAROL SUSSMAN M.D.” Practice Location

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