| Susgen Health Network Inc. | |
|
100 Waterway Dr S Apt 203, Lantana, FL 33462-1827 | |
| (561) 758-1734 | |
| Not Available |
| Full Name | Susgen Health Network Inc. |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 100 Waterway Dr S Apt 203, Lantana, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750580767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | ND3521 (Florida) | Primary |
| Provider Name | Susan B Peacock |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699816504 PECOS PAC ID: 6002996733 Enrollment ID: I20080107000712 |
| Mailing Address | Practice Location Address |
|---|---|
| Susgen Health Network Inc. 100 Waterway Dr S Apt 203, Lantana, FL 33462-1827 Ph: (561) 758-1734 | Susgen Health Network Inc. 100 Waterway Dr S Apt 203, Lantana, FL 33462-1827 Ph: (561) 758-1734 |
Ms. Jo Ann Donnelly, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1250 Southwinds Dr, Lantana, FL 33462 Phone: 561-547-6843 Fax: 561-540-4404 | |
Wynna Diann Dunmyer, RD, LD/N Dietitian Medicare: Medicare Enrolled Practice Location: 1250 Southwinds Dr, Lantana, FL 33462 Phone: 561-547-6800 Fax: 561-547-6865 |