Suzanne Pavlou MD PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME90011 Issued in FL

Legal business name

SUZANNE PAVLOU MD PLLC

Practice address

9858 Clint Moore Rd
Suite C111-236
Boca Raton, FL 33496-1034

Phone

(561) 676-7488

Fax

(561) 910-4785

NPI assigned

Feb 3, 2012

Last updated

Feb 3, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Suzanne Pavlou, MD

Title

Managing Member

Phone

(561) 676-7488

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1396017513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9858 CLINT MOORE RD",
            "address_2": "SUITE C111-236",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334961034",
            "telephone_number": "561-676-7488",
            "fax_number": "561-910-4785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9858 CLINT MOORE RD",
            "address_2": "SUITE C111-236",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334961034",
            "telephone_number": "561-676-7488",
            "fax_number": "561-910-4785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE PAVLOU MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "PAVLOU",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "561-676-7488",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME90011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270305000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Shafran LLC
• Clinton Sutherland
• Amber Sutliff, LMHC
• Peter Lehmann Sutphen, PSY.D.
• Douglas Hoyt Sutton, ARNP
• Suzanne Y Succop MD PA
• Suzette Webb Adult Family Care Home
• Holly Swannie, M.A.
• Linda Swanson
• Lisa R Swartz, PT

• Pediatrics Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.