Susan Elizabeth Fiello
Individual provider Active NPI Attendant Care Provider · Edgewater, FL
NPI 1376837468 · NPPES record last updated Jun 6, 2011
Key facts
- NPI
- 1376837468
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Attendant Care Provider 3747A0650X
- License
- 6906318 (FL)
- Practice address
- 1721 Victory Palm Dr
Edgewater, FL 32132-3114 - Phone
- (386) 402-4945
- NPI assigned
- Jun 6, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6906318 | FL | MD | Attendant Care Provider |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | 6906318 | FL | Yes |
Addresses
Primary practice location
1721 Victory Palm Dr
Edgewater, FL 32132-3114
Mailing address
1721 Victory Palm Dr
Edgewater, FL 32132-3114
Phone (386) 402-4945
Other providers in Edgewater, FL
- Edgewater Internal Medicine Assoc. Inc.
- Gabrielle Envent
- Victoria Esham
- Olivia Evans
- Jamye Lane Faulds
- Pamela Fisher
- Florida Health Care Plans Inc
- Florida Healthy Sleep LLC
- Florida HH Services
- Florida Shores Assisted Living Facility Inc.
All providers in Edgewater, FL · Attendant Care Provider in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.