Provider Demographics
NPI:1750335543
Name:SUAREZ, YVETTE M (MD)
Entity type:Individual
Prefix:DR
First Name:YVETTE
Middle Name:M
Last Name:SUAREZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23523 VISTA MAR COURT
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34639-0913
Mailing Address - Country:US
Mailing Address - Phone:813-404-4921
Mailing Address - Fax:813-929-1504
Practice Address - Street 1:27317 CASHFORD CIR
Practice Address - Street 2:SUITE 102
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-8101
Practice Address - Country:US
Practice Address - Phone:813-929-1500
Practice Address - Fax:813-929-1504
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2011-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME85704207PP0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PP0204XAllopathic & Osteopathic PhysiciansEmergency MedicinePediatric Emergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL266837800Medicaid
FL78609OtherBCBS OF FLORIDA
FL78609OtherBCBS OF FLORIDA
FL78609ZMedicare PIN
FL78609XMedicare PIN
FL78609YMedicare PIN