Provider Demographics
NPI:1306380076
Name:SUAREZ, ABELARDO (RN)
Entity Type:Individual
Prefix:
First Name:ABELARDO
Middle Name:
Last Name:SUAREZ
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4802 GRAND BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-5106
Mailing Address - Country:US
Mailing Address - Phone:727-877-8837
Mailing Address - Fax:
Practice Address - Street 1:4802 GRAND BLVD
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-5106
Practice Address - Country:US
Practice Address - Phone:727-877-8837
Practice Address - Fax:727-999-6088
Is Sole Proprietor?:No
Enumeration Date:2016-12-14
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9390295163W00000X
FLAPRN11009741363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse