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NPI Code Detail

MEDICARE: CARL SUCHAR DO

MEDICARE: CARL SUCHAR DO
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
1207R00000XInternal Medicine PhysicianOS4708FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982695516
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARL SUCHAR DO
Provider Business Mailing Address
First Line : 613 S MYRTLE AVE
Second Line :
City : CLEARWATER
State : FL
Zip : 33756-5615
Country : US
Telephone Number : 727-441-1451
Fax Number : 727-446-9528
Provider Business Practice Location Address
First Line : 613 S MYRTLE AVE
Second Line :
City : CLEARWATER
State : FL
Zip : 33756-5615
Country : US
Telephone Number : 727-441-1451
Fax Number : 727-446-9528
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2005
Last Update Date : 02/16/2010

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Directions to “ CARL SUCHAR DO” Practice Location

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