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1720063613
SUZANNE T ICELY
ST PETERSBURG, FL
NPI
1720063613
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: FL ME0071624)
Enumeration Date
2005-12-13
Last Update Date
2021-10-22
Business Address
DR. SUZANNE T ICELY M.D.
5959 CENTRAL AVE STE 103
ST PETERSBURG, FL 33710-8502
Phone number: 727-767-6060
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Mailing Address
DR. SUZANNE T ICELY M.D.
5959 CENTRAL AVE STE 103
ST PETERSBURG, FL 33710-8502
Phone number: 727-767-6060
Copy
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