| Doctor Name: | SUSAN BUFFINGTON |
| NPI Number: | 1003263724 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | ARNP 9205104 |
| Business Practice Address: | 501 6th Ave S Dept Of Radiology St Petersburg, FL - 337014634 |
| Business Phone Number: | 7277673318 |
| Business Fax Number: | 7277678002 |
| Mailing Address: | 501 6th Ave S, Dept Of Radiology ST PETERSBURG |
| State: | FL |
| Postal Code: | 337014634 |
| Phone Number: | 7277673318 |
| Fax Number: | 7277678002 |
| NPI Enumeration Date: | 05/23/2016 |
| NPI Last Update Date: | 05/23/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | ARNP 9205104 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |