Active NPI
Suzanne Gil, M.D.
- Dietary Manager
- Winter Park, FL
National Provider Identifier
1558520254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dietary Manager
- License
- ME55099
- Practice address
- 444 W New England Ave Ste 121
Winter Park, FL 32789-4224 - Phone
- (407) 644-7546
- NPI assigned
- Jun 6, 2008
- Last updated
- Nov 20, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dietary Manager | 132700000X | ME55099 | FL | Primary |
Addresses
Primary practice location
444 W New England Ave Ste 121
Winter Park, FL 32789-4224
Mailing address
444 W New England Ave Ste 121
Winter Park, FL 32789-4224
Phone (407) 644-7546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME55099 | FL | MD | Dietary Manager |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calla Slim Spa | Dietary Manager | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dietary Manager
- Winter Park, FL
- NPI 1962662445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384905600000",
"number": "1558520254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 W NEW ENGLAND AVE STE 121",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327894224",
"telephone_number": "407-644-7546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 W NEW ENGLAND AVE STE 121",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327894224",
"telephone_number": "407-644-7546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIL",
"first_name": "SUZANNE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-06",
"last_updated": "2013-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "132700000X",
"taxonomy_group": "",
"desc": "Dietary Manager",
"state": "FL",
"license": "ME55099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.