Susan Kathleen Hirtz in Lady Lake - Adult Medicine
Susan Kathleen Hirtz - NPI 1417985623
Susan Kathleen Hirtz is a Adult Medicine in Lady Lake, Florida. Susan Kathleen Hirtz practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Susan Kathleen Hirtz is 1417985623. The last update date is 2010-11-22.
Susan Kathleen Hirtz's current location address is 5720 Crestview Dr, Lady Lake, Florida. You can contact this provider via phone number 3526333060 and fax number 3526333090. The mailing address for Susan Kathleen Hirtz is 5720 Crestview Dr, Lady Lake, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Kathleen Hirtz |
|---|---|
| Address | 5720 Crestview Dr, Lady Lake, Florida |
| Phone Number | 3526333060 |
| Fax Number | 3526333090 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1417985623 |
|---|---|
| Provider Enumeration Date | 2006-06-28 |
| Last Updated Date | 2010-11-22 |
Provider Mailing Address Detail
| Address | 5720 Crestview Dr |
|---|---|
| City | Lady Lake |
| State | Florida (FL) |
| Post Code | 321595925 |
| Phone Number | 3526333060 |
| Fax Number | 3526333090 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
| Licence No | MD14264 |
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Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1755 | OR | SAIF | |
| 117226 | OR | -- | |
| A156501 | OR | PACIFICSOURCE PROVIDER ID | |
| 33467000 | OR | BLUE CROSS PROVIDER ID |
Post Comment/ Review Below
What is the Susan Kathleen Hirtz's unique identification number?
The Susan Kathleen Hirtz has been assigned the NPI (National Provider Identifier) Number 1417985623 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Susan Kathleen Hirtz's physical address?
The Susan Kathleen Hirtz is physically located at 5720 Crestview Dr, in the city of Lady Lake, FL, with the postal code 321595925.
What is the area of specialization for Susan Kathleen Hirtz, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Susan Kathleen Hirtz is Adult Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Qa0505X.
On what date did Susan Kathleen Hirtz receive its 1417985623 assignment from the Centers for Medicare & Medicaid Services?
The Susan Kathleen Hirtz was assigned its 1417985623 on 2006-06-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Susan Kathleen Hirtz's information last updated?
The Susan Kathleen Hirtz's information was last updated on 2010-11-22.