Provider Demographics
NPI:1558384016
Name:SUVAL, JANE ABBIE (DPM)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:ABBIE
Last Name:SUVAL
Suffix:
Gender:F
Credentials:DPM
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Mailing Address - Street 1:13590 JOG RD SUITE 2
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-3807
Mailing Address - Country:US
Mailing Address - Phone:561-865-3331
Mailing Address - Fax:561-865-3332
Practice Address - Street 1:13590 JOG RD
Practice Address - Street 2:SUITE 2
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-3807
Practice Address - Country:US
Practice Address - Phone:561-865-3331
Practice Address - Fax:561-865-3332
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPO1840213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist