person
Susan W Llarena, PA-C
Medical Physician Assistant in Fernandina Beach, Florida
NPI 1952325763

Susan W Llarena is a Medical Physician Assistant based in Fort Myers, FL and is specialized in Medical. Susan W Llarena practices in Fernandina Beach, FL and has the professional credentials of PA-C. The NPI Number for Susan W Llarena is 1952325763 and holds a License No. PA 2061 (Florida).

The current practice location address for Susan W Llarena is 1340 S 18Th St, Fernandina Beach, FL and can be reached out via phone at 904-261-0643 and via fax at 904-277-4082.

Location: 1340 S 18Th St, Fernandina Beach, FL, 33901-9342
person
Provider Profile Details
NPI Number
1952325763
Provider Name
Susan W Llarena
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1340 S 18Th St, Fernandina Beach, FL, 33901-9342
Phone Number
904-261-0643
Fax Number
904-277-4082
Provider Enumeration Date
07/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NJ448 01 FL MEDICARE
institution
Provider Business Practice Location Address Details
Address
1340 S 18Th St
City
State
Zip
32034-4799
Phone Number
904-261-0643
Fax Number
904-277-4082
person
Provider Business Mailing Address Details
Address
1340 S 18Th St
City
State
Zip
32034-4799
Phone Number
904-261-0643
Fax Number
904-277-4082
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA 2061 (Florida)
Definition
Definition to come...
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