Organization Active NPI

Suzanne Y Succop MD PA

  • Infectious Disease Physician
  • Boca Raton, FL
National Provider Identifier
1740476050
Registry record updated Apr 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME62069 Issued in FL
Legal business name
SUZANNE Y SUCCOP MD PA
Practice address
3245 Equestrian Dr
Boca Raton, FL 33434-3361
Phone
(561) 738-7007
Fax
(561) 738-7421
NPI assigned
Sep 20, 2007
Last updated
Apr 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2010

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

Authorized official

Name
Suzanne Y Succop, M.D.
Title
President
Phone
(561) 738-7007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X ME62069 FL Primary

Addresses

Primary practice location

3245 Equestrian Dr
Boca Raton, FL 33434-3361

Mailing address

200 Knuth Rd
Suite 150
Boynton Beach, FL 33436-4629
Phone (561) 738-7007

National Provider Directory

National Provider Directory

Locations

200 Knuth Rd
Ste 150
Boynton Beach, FL 33436
Phone (561) 364-5600

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271376000000",
    "number": "1740476050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 KNUTH RD",
            "address_2": "SUITE 150",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334364629",
            "telephone_number": "561-738-7007",
            "fax_number": "561-738-7421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3245 EQUESTRIAN DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334343361",
            "telephone_number": "561-738-7007",
            "fax_number": "561-738-7421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE Y SUCCOP MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2010-04-16",
        "status": "A",
        "authorized_official_last_name": "SUCCOP",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-738-7007",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME62069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.