Provider Demographics
NPI:1134369168
Name:SUAREZ, ANTHONY (LPN)
Entity type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:
Last Name:SUAREZ
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:MR
Other - First Name:ANTHONY
Other - Middle Name:
Other - Last Name:SUAREZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPN
Mailing Address - Street 1:14116 SW 93RD LN
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-1272
Mailing Address - Country:US
Mailing Address - Phone:786-399-3869
Mailing Address - Fax:
Practice Address - Street 1:14116 SW 93RD LN
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-1272
Practice Address - Country:US
Practice Address - Phone:786-039-9389
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-04
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN5165878164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse