Doctor Name: | DR. SUZANNE MARIE GOZDANOVIC |
NPI Number: | 1003076993 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | ME113229 |
Business Practice Address: | 1301 2nd Ave Sw Largo, FL - 337703120 |
Business Phone Number: | 7275847706 |
Business Fax Number: | 7275853829 |
Mailing Address: | 1301 2nd Ave Sw, LARGO |
State: | FL |
Postal Code: | 337703120 |
Phone Number: | 7275847706 |
Fax Number: | 7275853829 |
NPI Enumeration Date: | 06/13/2008 |
NPI Last Update Date: | 10/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0129X |
License Number: | ME113229 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Vascular Surgery |
Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |