LARRY ALAN SUECOF (NPI# 1033104062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033104062 |
| Entity Type | Individual |
| Full Name | LARRY ALAN SUECOF |
| Credential | DPM |
| Practice Address |
202 N Park Ave Ste 500 Apopka FL 32703 |
| Mailing Address |
3165 Mccrory Pl Ste 174 Orlando FL 32803-3727 |
| Practice Telephone | 4074101234 |
| Practice Fax Number | 4075171040 |
| Mailing Telephone | 4072195402 |
| Mailing Fax Number | 4075171040 |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2018-05-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 000281 | CT | Podiatric Medicine & Surgery Service Providers |
| N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
000281 | CT | Podiatric Medicine & Surgery Service Providers |
| N | 213ER0200X |
Podiatrist Specialization: Radiology |
000281 | CT | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
POOOO2293 | FL | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
000281 | CT | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | UNITED HEALTHCARE | 06-1406459 | 01 |
| CT | PRIVATE HEALTHCARE SYSTEM | 06-1406459 | 01 |
| CT | CIGNA | 0724234 001 | 01 |
| CT | ANTHEM BCBS | 1033104062 | 01 |
| CT | OXFORD | P4041219 | 01 |
| CT | FOCUS | 06-1406459 | 01 |
| CT | GREAT WEST HEALTHCARE | 06-1406459 | 01 |
| CT | MULTIPLAN | 06-1406459 | 01 |
| CT | 004006805 | 05 | |
| CT | CORVEL | 06-1406459 | 01 |
| CT | HMC, PPO | 06-1406459 | 01 |
| CT | CONNECTICARE | 060021 | 01 |
| CT | CONNECTICARE | 0600211278 | 01 |
| MEDICARE | 480000668 | 01 | |
| MA | 0358436 | 05 | |
| CT | COLONIAL COOPERATIVE CARE | 06-1406459 | 01 |
| CT | NORTHEAST HEALTH DIRECT | 06-1406459 | 01 |
| CT | HEALTH NET | 0R3020 | 01 |
| CT | AETNA | 2534362 | 01 |
| Street Address |
202 N PARK AVE STE 500 |
| City | APOPKA |
| State | FL |
| Zip Code | 32703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083224414 | Upperline Healthcare, PC | Podiatrist | 202 N Park Ave Ste 500, Apopka, FL 32703-4148 | 2020-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073149449 | Medical Risk Solutions | Family Medicine | 176 E 5th Street, Apopka, FL 32703 | 2020-03-18 |
| 1245798255 | Lp Orlando LLC | Skilled Nursing Facility | 2001 Alston Bay Blvd, Apopka, FL 32703 | 2019-03-08 |
| 1902360522 | Amrita Joshi | Physician Assistant | 5357 Pepperbrush Cove, Apopka, FL 32703 | 2019-01-28 |
| 1568944916 | Shantel Brinnius | Social Worker | 2479 Aloma Ave. 32792, Winter Park, FL 32703 | 2018-09-02 |
| 1306335559 | Tammy Lee Adams | Physical Therapy Assistant | Florida Living Rehab Center, 3355 East Semoran Blvd, Apopka, FL 32703 | 2018-05-03 |
| 1417450222 | Michelle Bravo | Specialist/Technologist | 9309 Redfish Cove, Apopka, FL 32703 | 2018-03-18 |
| 1083123418 | Maximeyes Vision, Inc. | Optometrist | 1500 S Orange Blossom Trail, Apopka, FL 32703 | 2017-09-28 |
| 1609385376 | Cynthia Quinn | Occupational Therapist | 3355 E. Semoran Blvd, Apopka, FL 32703 | 2017-09-26 |
| 1952829558 | Kimberly Powell | Physical Therapy Assistant | 305 E Oak Street, Apopka, FL 32703 | 2017-09-03 |
| 1144748856 | The Hope House of Love Inc | Home Health | 387 Maude Helen Street, Apopka, FL 32703 | 2017-09-01 |
| Find all providers in zip 32703 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487950143 | Florida Foot & Ankle Associates, LLC | Podiatrist | 300 S Central Ave, Apopka, FL 32703-4246 | 2011-01-28 |
| 1699883934 | Orlando Foot & Ankle Clinic Inc | Podiatrist | 202 N Park Ave, Suite 500, Apopka, FL 32703 | 2006-08-28 |
| 1831163740 | Douglas M Childs | Podiatrist | 202 N Park Ave, Suite 500, Apopka, FL 32703 | 2006-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693120 | Mozhgan Alijani, Dpm, Pa | Podiatrist | 20515 E Country Club Dr Apt 544, Miami, FL 33180-3442 | 2020-09-11 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1306457841 | Asdj LLC | Podiatrist | 2190 Bridgeport Cir, Rockledge, FL 32955-4338 | 2020-08-10 |
| 1316557762 | Upperline Healthcare, PC | Podiatrist | 2111 Glenwood Dr Ste 104, Winter Park, FL 32792-3328 | 2020-07-31 |
| 1790395135 | Upperline Healthcare, PC | Podiatrist | 339 Cypress Pkwy Ste 240, Kissimmee, FL 34759-3315 | 2020-07-31 |
| 1952911398 | Upperline Healthcare, PC | Podiatrist | 250 N Alafaya Trl Ste 115, Orlando, FL 32828-4336 | 2020-07-31 |
| 1639789076 | Upperline Healthcare, PC | Podiatrist | 650 S Courtenay Pkwy Ste 200, Merritt Island, FL 32952-4977 | 2020-07-31 |
| 1972113314 | Upperline Healthcare, PC | Podiatrist | 8000 Red Bug Lake Rd Ste 230, Oviedo, FL 32765-9265 | 2020-07-31 |
| 1356950646 | Palm Beach Foot & Ankle Inc | Podiatrist | 8130 Royal Palm Blvd Ste 205, Coral Springs, FL 33065-5703 | 2020-07-23 |
| 1720601891 | Yohandy Fuentes Dpm Pa | Podiatrist | 5200 Sw 8th St Ste 201a, Coral Gables, FL 33134-2337 | 2020-05-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.