MEDICARE: JANET SUAREZ DPM PA

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	213ES0103X	Foot & Ankle Surgery Podiatrist	PO3327	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	65973	OTHER	FL	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659552578
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JANET SUAREZ DPM PA

Provider Business Mailing Address
First Line	:	12805 SW 105TH TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-3502
Country	:	US
Telephone Number	:	786-226-3716
Fax Number	:

Provider Business Practice Location Address
First Line	:	12805 SW 105TH TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-3502
Country	:	US
Telephone Number	:	786-226-3716
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JANET SUAREZ
Credential	:	DPM
Telephone Number	:	786-226-3716

Provider Enumeration Date	:	11/20/2007
Last Update Date	:	03/15/2022

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