MEDICARE: JULIAN STEPHEN SUHRER MD

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	207VG0400X	Gynecology Physician	ME0025921	FL

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538152152
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIAN STEPHEN SUHRER MD

Provider Business Mailing Address
First Line	:	3627 UNIVERSITY BLVD S
Second Line	:	#340
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-4294
Country	:	US
Telephone Number	:	904-396-3518
Fax Number	:	904-398-5066

Provider Business Practice Location Address
First Line	:	3627 UNIVERSITY BLVD S
Second Line	:	#340
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-4294
Country	:	US
Telephone Number	:	904-396-3518
Fax Number	:	904-398-5066

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

Provider Enumeration Date	:	08/30/2005
Last Update Date	:	12/15/2025

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