Susan Lee Gryder is a Family in Tampa, Florida. Susan Lee Gryder practices all healthcare services and medical treatments related to Family. The NPI Number for Susan Lee Gryder is 1114912508. The last update date is 2007-07-08.
Susan Lee Gryder's current location address is 1202 Tech Blvd, Tampa, Florida. You can contact this provider via phone number 8136200026 and fax number 8136233322. The mailing address for Susan Lee Gryder is 1202 Tech Blvd, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Lee Gryder |
|---|---|
| Address | 1202 Tech Blvd, Tampa, Florida |
| Phone Number | 8136200026 |
| Fax Number | 8136233322 |
| Sole Proprietor | X |
| Credentials | A.R.N.P. |
NPI Number Detail
| NPI Number | 1114912508 |
|---|---|
| Provider Enumeration Date | 2005-09-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1202 Tech Blvd |
|---|---|
| City | Tampa |
| State | Florida (FL) |
| Post Code | 336197871 |
| Phone Number | 8136200026 |
| Fax Number | 8136233322 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | ARNP3010512 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Post Comment/ Review Below
What is the unique identifier code issued to Susan Lee Gryder by the Centers for Medicare & Medicaid Services?
The Susan Lee Gryder has been assigned the NPI (National Provider Identifier) 1114912508. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Susan Lee Gryder is physically located?
The Susan Lee Gryder is situated at the following address: 1202 Tech Blvd, Tampa, FL 336197871.
What is the Susan Lee Gryder's area of specialization and corresponding taxonomy classification?
The Susan Lee Gryder's specialty field is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their specialties.
On what date did the Susan Lee Gryder receive its 1114912508 assignment from the Centers for Medicare & Medicaid Services?
The Susan Lee Gryder was assigned its 1114912508 by the Centers for Medicare & Medicaid Services on 2005-09-13.
As of what date were the Susan Lee Gryder's details last updated?
The information pertaining to the Susan Lee Gryder, including its address, specialty, and other details, was most recently updated on 2007-07-08.