Individual provider · Type 1 NPI

Susan M. Ryan, PA-C

Medical Physician Assistant · Lake Mary, FL

NPI number 1528095718 Active

Practice location

1349 South International Parkway, Suite 1411
Lake Mary, FL 32746

Call (407) 333-3360 Map

Fax (407) 333-2920

Mailing address

1349 S International Pkwy, Suite 1411
Lake Mary, FL 32746-1697

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA9101850 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1528095718

Susan M. Ryan, PA-C's National Provider Identifier is 1528095718, issued on Jun 26, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lake Mary, FL. The record was last updated on Feb 17, 2009.