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NPI Code Detail

MEDICARE: DR. SUZAN MARIE STREICHENWEIN M.D.

MEDICARE: DR. SUZAN MARIE STREICHENWEIN 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
12084P0800XPsychiatry PhysicianME0070444FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10070444OTHERFLFLORIDA STATE LICENSE

General Provider Information

NPI Number : 1982677662
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUZAN MARIE STREICHENWEIN M.D.
Provider Business Mailing Address
First Line : 3111 S DIXIE HWY
Second Line : SUITE 306A
City : WEST PALM BEACH
State : FL
Zip : 33405-1557
Country : US
Telephone Number : 561-820-0079
Fax Number :
Provider Business Practice Location Address
First Line : 3111 S DIXIE HWY
Second Line : SUITE 306A
City : WEST PALM BEACH
State : FL
Zip : 33405-1557
Country : US
Telephone Number : 561-820-0079
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2006
Last Update Date : 06/30/2010

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