MISS SUZANNE MARGARET WYNN (NPI# 1710053632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710053632 |
| Entity Type | Individual |
| Full Name | MISS SUZANNE MARGARET WYNN |
| Credential | L.M.T. |
| Practice Address |
606 Nw 32nd Pl Gainesville FL 32609-2228 |
| Practice Telephone | 3522147768 |
| Practice Fax Number | 3523809804 |
| Mailing Telephone | 3522147768 |
| Mailing Fax Number | 3523809804 |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA0017044 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS PROVIDER NUMBER | C6051 | 01 |
| FL | FLORIDA LICENSE NUMBER | MA0017044 | 01 |
| Street Address |
606 NW 32ND PL |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32609-2228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013071406 | Julia Ellen Inglis | Specialist | 606 Nw 32nd Pl, Gainesville, FL 32609-2228 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285244707 | Bright Dme LLC | Durable Medical Equipment & Medical Supplies | 4306 Nw 13th Street, Gainesville, FL 32609 | 2020-08-10 |
| 1144799537 | Kimberly Laverna Peterson | Home Health Aide | 636 Nw 26th Ave Apt 119e, Gainesville, FL 32609 | 2018-11-15 |
| 1548712318 | Rebecca Maligno | Social Worker | 825 Nw 23rd Ave Bldg 3 St A, Gainesville, FL 32609 | 2016-10-27 |
| 1023470960 | Laura J Perry | Counselor | 1707 North Main St, Family Medicine At Main, Gainesville, FL 32609 | 2016-03-21 |
| 1336543131 | Christine Brunetti | Pharmacist | 2500 N. Main St, Gainesville, FL 32609 | 2014-10-22 |
| 1114352713 | Samuel Jones IIi | Pharmacist | 2500 N. Main St., Gainesville, FL 32609 | 2013-09-13 |
| 1912348228 | Timothy Manning Rogers | Pharmacist | 2046 Ne Waldo Road, Room 2227, Gainesville, FL 32609 | 2013-07-15 |
| 1205277514 | Arthur Emrie Wharton | Pharmacist | 2046 Waldo Road, Ne, Suite 2200, Gainesville, FL 32609 | 2013-07-15 |
| 1003102864 | Rocky Mountain Holdings LLC | Ambulance | 4375 Ne 48th Ave, Gainesville, FL 32609 | 2011-06-21 |
| 1760774939 | Kyle Edwin Jersey | Registered Nurse | 1128 Ne 20th Place, Gainesville, FL 32609 | 2011-05-06 |
| Find all providers in zip 32609 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871021832 | Hifu Solution LLC | Specialist | 3426 Nw 43rd St Ste B, Gainesville, FL 32606-8156 | 2017-06-02 |
| 1457888380 | Birth Plus, LLC | Specialist | 4030 Lyman Way, Gainesville, GA 30507-8697 | 2017-05-23 |
| 1558804609 | Lisa Kelli Glenn | Specialist | 6450 Sw Archer Rd, 210, Gainesville, FL 32608-6133 | 2016-11-22 |
| 1730534371 | Crest Physical Therapy, Inc. | Specialist | 3754 Sw 56th Rd, Gainesville, FL 32608-5132 | 2016-05-02 |
| 1588053532 | Jacquelyn Rosado | Specialist | 2035 Sw 75th St Ste B, Suite B, Gainesville, FL 32607-3425 | 2015-01-14 |
| 1013358555 | Violet Kyong | Specialist | 4910 Sw 64th Rd, Gainesville, FL 32608-8803 | 2013-07-12 |
| 1740628957 | Caitlyn Kloss | Specialist | 900 Nw 8th Avenue, Gainesville, FL 32601 | 2013-06-10 |
| 1487917332 | Joseph Desiderious Kovacs Jr. | Specialist | 4430 Nw 18th Pl, Gainesville, FL 32605-3424 | 2012-06-15 |
| 1093074635 | Julia Jan Phillips | Specialist | 5207 Sw 91st Ter, Gainesville, FL 32608-7125 | 2012-05-15 |
| 1457635179 | Tina Gorske | Specialist | 1715 Nw 22nd Dr, Gainesville, FL 32605-3953 | 2011-09-29 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32609 |
Please comment or provide details below to improve the information on MISS SUZANNE MARGARET WYNN.
| 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.