IHOR IHOROVYCH SUSAK

JACKSONVILLE, FL
NPI1598547481
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: FL  APRN11027667)
Enumeration Date2023-10-16
Last Update Date2023-10-16
Business Address
IHOR IHOROVYCH SUSAK
3900 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216-4331
Phone number: 904-222-6656
Mailing Address
IHOR IHOROVYCH SUSAK
3900 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216-4331
Phone number: 904-222-6656
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