DR. SUZANNE T ICELY, M.D.
Medical Practice at 38 Ave, Saint Petersburg, FL

License number
Florida ME0071624
Category
Medical Practice
Type
Obstetrics & Gynecology
Address
Address
6450 38Th Ave N SUITE 200, Saint Petersburg, FL 33710
Phone
(727) 344-6060
(727) 347-5586 (Fax)
National Provider ID: 1720063613
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

See more information about SUZANNE T ICELY at radaris.com
Name
Address
Phone
Suzanne Icely, age 56
6542 4Th St S, St Petersburg, FL 33705
Suzanne Icely
601 5Th St, Saint Petersburg, FL 33701
(727) 767-7030
Suzanne Icely
6450 38Th Ave N, Saint Petersburg, FL 33710
(727) 344-6060
Suzanne T Icely, age 56
13509 2Nd St, Bradenton, FL 34201
(941) 741-8796
Suzanne T Icely
6450 38Th St, Saint Petersburg, FL 33710
(727) 344-6060

Organization information

See more information about SUZANNE T ICELY at bizstanding.com

SUZANNE T. ICELY, M.D., PA

6450 38 Ave N SUITE 200, Saint Petersburg, FL 33710

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Nov 6, 2000
Inactive since:
Sep 28, 2012
State ID:
P00000103734
Business type:
Florida Profit Corporation
President, Directors:
Xxxxxx Xxxxxx,Xxxxx Xxxxx,Suzanne Tm.d. Icely President, Director, inactive, 6450 38 Ave N SUITE 200, Saint Petersburg, FL 33710 (Physical)
Agent:
Suzanne Icely,6450 38 Ave N SUITE 200, Saint Petersburg, FL 33710 (Physical)
EIN:
59-3681188

Professional information

Suzanne T Icely Photo 1

Dr. Suzanne T Icely, St Petersburg FL - MD (Doctor of Medicine)
Address:
All Childrens OB/GYN Specialist
6450 38Th Ave N SUITE 200, St Petersburg 33710
(727) 344-6060 (Phone)
All Childrens OB/GYN Specialist
6450 38Th Ave N SUITE 200, St Petersburg 33710
(727) 344-6060 (Phone)
Education:
Medical Schools
University of Florida
Graduated: 1994

Suzanne T Icely Photo 2

Suzanne T Icely, Saint Petersburg FL
Specialties:
OB-GYN
Address:
6450 38Th Ave N, Saint Petersburg, FL 33710
Education:
University of Florida, College of Medicine - Doctor of Medicine
Tampa General Hospital - Residency - Obstetrics and Gynecology
Board certifications:
American Board of Obstetrics and Gynecology Certification in Obstetrics & Gynecology

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