Provider Demographics
NPI:1841243367
Name:UZUN, SUNA LOLITA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:SUNA
Middle Name:LOLITA
Last Name:UZUN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 SW 29TH TER
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-2928
Mailing Address - Country:US
Mailing Address - Phone:352-843-4477
Mailing Address - Fax:352-629-7862
Practice Address - Street 1:2801 SW COLLEGE RD STE 17
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-4447
Practice Address - Country:US
Practice Address - Phone:352-843-4477
Practice Address - Fax:352-843-4477
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-18
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY7731103TC0700X
KY1276103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY341170OtherTRICARE
11489642OtherCAQH
KY30605018Medicaid
KY000000282811OtherANTHEM
KY0359251Medicare ID - Type UnspecifiedMEDICARE
KY0358751Medicare ID - Type UnspecifiedMEDICARE
KY0358953Medicare ID - Type UnspecifiedMEDICARE
11489642OtherCAQH
KY0690901Medicare ID - Type UnspecifiedMEDICARE
KY0762331Medicare ID - Type UnspecifiedMEDICARE
KY0763531Medicare ID - Type UnspecifiedMEDICARE
KY341170OtherTRICARE
KY0762233Medicare ID - Type UnspecifiedMEDICARE
KY0358652Medicare ID - Type UnspecifiedMEDICARE
KY30605018Medicaid