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1861820599
MICHAEL LORNE SUSSMAN
BRANDON, FL
NPI
1861820599
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9107280)
Enumeration Date
2013-10-15
Last Update Date
2021-05-21
Business Address
MICHAEL LORNE SUSSMAN
119 OAKFIELD DR
BRANDON, FL 33511-5779
Phone number: 813-571-5100
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Mailing Address
MICHAEL LORNE SUSSMAN
PO BOX 37803
PHILADELPHIA, PA 19101-0103
Phone number: 800-507-8874
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