NPI 1073813630

Susana T. Donaire, MD, PA

Organisation Family Medicine Physician Crystal River, FL

Practice location

Address: 255 SE 7th Ave Suite 1, Crystal River, FL 34429-4848
Phone: (352) 564-8620
Fax: (352) 564-9278

Authorised official

Name: Susana T Donaire
Title: Medical Doctor
Phone: (352) 564-8620

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence ME#0045956 (FL)

Other Family Medicine providers in Florida →

Registry record

NPI: 1073813630
Entity type: Organization
NPI issued: 29 Oct 2010
Record last updated: 23 Jan 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.