SUSAN M RYAN, PA-C, Medical LAKE MARY, FL

Contact Information

SUSAN M RYAN, PA-C

1349 SOUTH INTERNATIONAL PARKWAY
SUITE 1411
LAKE MARY, FL 32746

Phone: 407-333-3360
Fax: 407-333-2920
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Medical	363AM0700X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for SUSAN M RYAN · (Female)

NPI #	`1528095718`
Status	Active
Credentials	PA-C (Physician Assistant-Certified)
Entity	Individual
Enumeration date	06/26/2006
Last updated	02/17/2009 - About 17 years ago
Sole proprietor ¹	No
Identifiers	FL License # PA9101850
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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