MEDICARE: SUZANNE GIL 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
1	132700000X	Dietary Manager	ME55099	FL

General Provider Information

NPI Number	:	1558520254
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUZANNE GIL M.D.

Provider Business Mailing Address
First Line	:	444 W NEW ENGLAND AVE STE 121
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-4224
Country	:	US
Telephone Number	:	407-644-7546
Fax Number	:

Provider Business Practice Location Address
First Line	:	444 W NEW ENGLAND AVE STE 121
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32789-4224
Country	:	US
Telephone Number	:	407-644-7546
Fax Number	:

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

Provider Enumeration Date	:	06/06/2008
Last Update Date	:	11/20/2013

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