Provider Demographics
NPI:1376812537
Name:SUANSING, MARIA E (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:E
Last Name:SUANSING
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2624 TWISTING SWEETGUM WAY
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-7638
Mailing Address - Country:US
Mailing Address - Phone:407-654-2473
Mailing Address - Fax:
Practice Address - Street 1:13720 W COLONIAL DR
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-4202
Practice Address - Country:US
Practice Address - Phone:407-656-9286
Practice Address - Fax:407-656-7276
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-17
Last Update Date:2011-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS31324183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist