SUZANNE Y SUCCOP MD PA
Osteopathic Medicine at Equestrian Dr, Boca Raton, FL

License number
Florida ME62069
Category
Osteopathic Medicine
Type
Infectious Disease
Owner
Name: SUZANNE Y SUCCOP M.D.
Title: PRESIDENT
Phone: (561) 738-7007
Address
Address 2
3245 Equestrian Dr, Boca Raton, FL 33434
200 Knuth Rd SUITE 150, Boynton Beach, FL 33436
National Provider ID: 1740476050
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SUZANNE Y. SUCCOP, M.D., PA

3245 Equestrian Dr, Boca Raton, FL 33434

Industry:
Medical Doctor's Office
Registration:
Sep 20, 2004
State ID:
P04000131819
Business type:
Florida Profit Corporation
President, Treasurer, Director, Secretary, Vice President:
Suzanne Ymd Succop (President, Treasurer, Director, Secretary, Vice President), 3245 Equestrian Dr, Boca Raton, FL 33434 (Physical)
Agent:
Elias Bendeck,3245 Equestrian Dr, Boca Raton, FL 33434 (Physical)
EIN:
20-1647461

Suzanne Y Succop MD PA

200 Knuth Rd, Boynton Beach, FL 33436

Industry:
Medical Doctor's Office
Infectious Diseases, Medical Doctor, Principal:
Suzanne Succop (Infectious Diseases, Medical Doctor, Principal)

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