Susan Mardjetko

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA2502 Issued in FL

Practice address

7927 State Road 52
Atria Baypoint Village
Hudson, FL 34667

Phone

(727) 378-8586

Fax

(727) 378-8587

NPI assigned

Sep 9, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285891200000",
    "number": "1659688869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7927 STATE ROAD 52",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "34667",
            "telephone_number": "727-378-8586",
            "fax_number": "727-378-8587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7927 STATE ROAD 52",
            "address_2": "ATRIA BAYPOINT VILLAGE",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "34667",
            "telephone_number": "727-378-8586",
            "fax_number": "727-378-8587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARDJETKO",
        "first_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-09",
        "last_updated": "2010-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA2502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Dominic Malone, D.O.
• Matthew Tancinco Mancao, MD
• Madison Ashley Manchester, DO
• Erin Monique Mangini
• Dawn Marie Marazzi
• Maria C Soto-Aguilar M D P a
• Samantha Marina, MS, RD, LDN
• Mark a Eberbach MD PA
• Mark Alagna MD PA
• Julie Miller Marriott

• Speech-Language Pathologist in Hudson, FL
• Providers in Hudson, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; 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.