SUSAN C FAIR DO PA

MERRITT ISLAND, FL
NPI1407055874
Entity TypeOrganization
Authorized ContactSUSAN C FAIR
President
321-455-1226
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  OS7489)
Enumeration Date2007-07-16
Last Update Date2007-09-14
Business Address
SUSAN C FAIR DO PA
595 N COURTENAY PKWY SUITE 102
MERRITT ISLAND, FL 32953-4851
Phone number: 321-455-1226
Mailing Address
SUSAN C FAIR DO PA
595 N COURTENAY PKWY SUITE 102
MERRITT ISLAND, FL 32953-4851
Phone number: 321-455-1226
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