SUSSEL GANDUR MARTINEZ ARNP NPI 1104490838

NPI Information

NPI: 1104490838
Provider Name: SUSSEL GANDUR MARTINEZ, ARNP
Classification: Nurse Practitioner - 363LC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

Organization: SOUTH FLORIDA CRITICAL CARE SERVICES LLC

PECOS Registration: Yes

Address:
20814 W DIXIE HWY
MIAMI, FL
ZIP 33180
Phone: (305) 933-8433
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Sussel Gandur Martinez, ARNP is a critical care medicine nurse practitioner in Miami, FL with 4 years of experience. Sussel Gandur Martinez, ARNP NPI is 1104490838. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

20814 W DIXIE HWY
MIAMI, FL
ZIP 33180-147
Phone: (305) 933-8433

The NPI 1104490838 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/17/2021 and was last updated on 12/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LC0200X	Nurse Practitioner	Critical Care Medicine	11008348	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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