Susana T. Donaire, MD, PA
Family Medicine in Crystal River, FL. Organization (NPI-2).
NPI number1073813630
StatusActive
Last updated in NPPESJan 23, 2012
Details
- NPI
- 1073813630
- Entity type
- Organization (NPI-2)
- Legal business name
- Susana T. Donaire, MD, PA
- Organization subpart
- No
- Enumeration date
- Oct 29, 2010
- Last updated
- Jan 23, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | ME#0045956 | FL | Yes |
Practice location
255 Se 7th AveSuite 1
Crystal River, FL 34429-4848
Phone 352-564-8620 · Fax 352-564-9278
Mailing address
255 Se 7th AveSuite 1
Crystal River, FL 34429-4848
Phone 352-564-8620 · Fax 352-564-9278
Authorized official
Susana T Donaire
Medical Doctor
3525648620
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