SUSAN STUIB (NPI# 1811940448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811940448 |
| Entity Type | Individual |
| Full Name | SUSAN STUIB |
| Credential | ARNP,FNP |
| Practice Address |
3861 Avalon Park East Blvd Orlando FL 32828-4853 |
| Mailing Address |
851 Bridgeway Blvd Orlando FL 32828-6186 |
| Practice Telephone | 4073785300 |
| Practice Fax Number | 4073785306 |
| Mailing Telephone | 4072432663 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2012-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP3359392 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 000467200 | 05 |
| Street Address |
3861 AVALON PARK EAST BLVD |
| City | ORLANDO |
| State | FL |
| Zip Code | 32828-4853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144631672 | Medcare Xpress Walk-in Clinic of Avalon, LLC | Clinic/Center | 3861 Avalon Park East Blvd, Orlando, FL 32828-4853 | 2014-05-19 |
| 1376960351 | Florida Primary Care Group. LLC | Clinic/Center | 3861 Avalon Park East Blvd, Orlando, FL 32828-4853 | 2014-03-27 |
| 1346661592 | Primera Choice Walk In Clinic | Family Medicine | 3861 Avalon Park East Blvd, Orlando, FL 32828-4853 | 2013-12-13 |
| 1285065540 | Zasa Medical Holdings LLC | Chiropractor | 3861 Avalon Park East Blvd, Orlando, FL 32828-4853 | 2013-12-11 |
| 1770912982 | Jarna Patel | Physician Assistant | 3861 Avalon Park East Blvd, Orlando, FL 32828-4853 | 2013-11-07 |
| 1881952802 | Primera Choice Urgent Care Center LLC | Clinic/Center | 3861 Avalon Park East Blvd, Orlando, FL 32828-4853 | 2012-04-27 |
| 1386929636 | Primera Urgent Primary Care Center, LLC | Clinic/Center | 3861 Avalon Park East Blvd, Orlando, FL 32828-4853 | 2011-10-19 |
| 1902105877 | Apuc Primary Care | Clinic/Center | 3861 Avalon Park East Blvd, Orlando, FL 32828-4853 | 2011-03-18 |
| 1255642518 | Avalon Park Urgent Care | Clinic/Center | 3861 Avalon Park East Blvd, Orlando, FL 32828-4853 | 2010-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578057501 | Antonia Mejia | Social Worker | 15260 Sugargrove Way, Orlando, FL 32828 | 2018-06-22 |
| 1871087692 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 3502 Avalon Park East Blvd, Orlando, FL 32828 | 2018-06-15 |
| 1386169738 | Ashley Nicole Wilkins | Specialist/Technologist | 2653 Wembleycross Way, Orlando, FL 32828 | 2017-08-07 |
| 1558812388 | Porta Nova Homemaker Companion Services, LLC | In Home Supportive Care | 515 Spring River Drive, Orlando, FL 32828 | 2016-10-17 |
| 1467908715 | Alexander Duque | Dentist | 785 N Alafaya Trail, Orlando, FL 32828 | 2016-08-28 |
| 1568819886 | Nicole Kircher | Behavioral Analyst | 757 Sterling Springs Rd, Orlando, FL 32828 | 2016-05-17 |
| 1477908556 | Sandra Maria Garcia | Speech-Language Pathologist | 4961 Atwood Dr, Orlando, FL 32828 | 2016-04-26 |
| 1821473380 | Sandra Ware | Physical Therapy Assistant | 498 Palm Springs Dr, Ste 345, Orlando, FL 32828 | 2015-07-27 |
| 1649674367 | Lisa M Keough | Occupational Therapist | 447 Bella Vida Blvd., Creative Speech Solutions & Therapy, Orlando, FL 32828 | 2014-10-09 |
| 1336549781 | Melissa Cossu | Developmental Therapist | 14428 Turning Leaf Dr, Orlando, FL 32828 | 2014-09-03 |
| Find all providers in zip 32828 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033005 | Lourdes Milagros Rivera | Nurse Practitioner | 4512 Raintree Ridge Rd, Orlando, FL 32837-5133 | 2020-11-06 |
| 1962019232 | Gerda Dorce | Nurse Practitioner | 5045 Catspaw Ct, Orlando, FL 32808-5961 | 2020-09-30 |
| 1073120093 | Kailey Wickens | Nurse Practitioner | 10139 Rivers Trail Dr, Orlando, FL 32817-2884 | 2020-09-24 |
| 1528672284 | Paulette Fernandez | Nurse Practitioner | 9208 Larette Dr, Orlando, FL 32817-2618 | 2020-09-01 |
| 1225641798 | Jennifer Marie Fleitas | Nurse Practitioner | 1501 Balsam Willow Trl, Orlando, FL 32825-4469 | 2020-08-25 |
| 1730792201 | Winnie Tsang-wu | Nurse Practitioner | 11419 Chateaubriand Ave, Orlando, FL 32836-8890 | 2020-08-25 |
| 1851902548 | April Michelle Edwards | Nurse Practitioner | 2630 Babbitt Ave, Orlando, FL 32833-4023 | 2020-08-14 |
| 1417567454 | Maureen Williams | Nurse Practitioner | 2126 Great Falls Way, Orlando, FL 32824-4302 | 2020-08-04 |
| 1134747470 | Edelio Valentin De Zayas | Nurse Practitioner | 7763 Segovia St, Orlando, FL 32822-8036 | 2020-07-13 |
| 1811515141 | Yuliet Castillo | Nurse Practitioner | 10814 Flycast Cir, Orlando, FL 32825-4878 | 2020-07-13 |
| Find all providers in ORLANDO | ||||
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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.