Provider Demographics
NPI:1194034124
Name:SUAREZ, CYNTHIA E
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:E
Last Name:SUAREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:318 INDIAN TRCE
Mailing Address - Street 2:SUITE 216
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-2996
Mailing Address - Country:US
Mailing Address - Phone:954-727-1899
Mailing Address - Fax:954-252-3925
Practice Address - Street 1:318 INDIAN TRCE
Practice Address - Street 2:SUITE 216
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326-2996
Practice Address - Country:US
Practice Address - Phone:954-727-1899
Practice Address - Fax:954-252-3925
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-24
Last Update Date:2010-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NW0100XHospitalsGeneral Acute Care HospitalWomen