Razia Arackapparambil Suhara
Individual provider Active NPI Family Nurse Practitioner · Tavares, FL
NPI 1891537270 · NPPES record last updated Jun 7, 2024
Key facts
- NPI
- 1891537270
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 11033105 (FL)
- Practice address
- 1000 Waterman Way
Tavares, FL 32778-5266 - Phone
- (352) 253-3333
- NPI assigned
- Jun 7, 2024
- 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 |
|---|---|---|---|
| 11033105 | FL | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11033105 | FL | Yes |
Addresses
Primary practice location
1000 Waterman Way
Tavares, FL 32778-5266
Mailing address
2520 Ann Rou Road ,Unit No 1210
Tavares, FL 32778
Phone (407) 449-9486
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- Jacquelyn Renee Arbuckle
- Victor A. Argumedo
- Samantha Ann Armentrout
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All providers in Tavares, FL · Family Nurse Practitioner 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 7, 2024. 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.