MEDICARE: SUZANNE RAVITA BLACKBURN CRNFA

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	163WR0006X	Registered Nurse First Assistant	RN3314902	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	Y7505	OTHER	FL	BCBS OF FLORIDA

General Provider Information

NPI Number	:	1801138995
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUZANNE RAVITA BLACKBURN CRNFA

Provider Business Mailing Address
First Line	:	7897 SAINT ANDREWS CIR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835-8170
Country	:	US
Telephone Number	:	407-445-0215
Fax Number	:	407-445-0287

Provider Business Practice Location Address
First Line	:	7897 SAINT ANDREWS CIR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835-8170
Country	:	US
Telephone Number	:	407-445-0215
Fax Number	:	407-445-0287

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

Provider Enumeration Date	:	03/27/2013
Last Update Date	:	03/27/2013

Similar Medicare Providers

1992704670 — MR. DENNIS GEORGE GAY II PA-C
Practice Location Address:

1603 S HIAWASSEE RD , ST 115
ORLANDO, FL
32835-6438

Practice Phone: 407-383-0142
Practice Fax: 407-386-7247

1033118161 — CESAR RAYMOND CHAVEZ QUILILAN MD
Practice Location Address:

6150 METROWEST BLVD STE 307
ORLANDO, FL
32835-3291

Practice Phone: 407-294-1014
Practice Fax: 407-294-7732

1801898721 — DR. JOHN RISTEAU HARRISON D.D.S.
Practice Location Address:

7463 CONROY RD , SUITE B
ORLANDO, FL
32835-2761

Practice Phone: 407-291-3600
Practice Fax: 407-291-6852

1912993353 — CYNTHIA ANN MARTIN CPNP
Practice Location Address:

8934 CONROY WINDERMERE RD
ORLANDO, FL
32835-3128

Practice Phone: 407-351-0082
Practice Fax: 407-374-1637

1881680999 — THOMAS HASELWOOD MA, LMHC
Practice Location Address:

1601 PARK CENTER DR , #12
ORLANDO, FL
32835-5700

Practice Phone: 407-521-1811
Practice Fax:

1235126855 — SOVEREIGN HEALTHCARE OF METRO WEST, LLC
Practice Location Address:

5900 WESTGATE DR
ORLANDO, FL
32835-2002

Practice Phone: 407-296-8164
Practice Fax: 407-447-4490

Directions to “ SUZANNE RAVITA BLACKBURN CRNFA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.