| Dr Susan Ledbetter, DO | |
|
3200 S University Dr, Davie, FL 33328-2018 | |
| (954) 262-4100 | |
| (954) 262-3753 |
| Full Name | Dr Susan Ledbetter |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 3200 S University Dr, Davie, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780620476 | NPI | - | NPPES |
| OS 9002 | Other | FL | STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS9002 (Florida) | Primary |
| 207QG0300X | Family Medicine - Geriatric Medicine | OS9002 (Florida) | Secondary |
| Entity Name | Nova Southeastern University Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700924511 PECOS PAC ID: 4486568896 Enrollment ID: O20031118000987 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Susan Ledbetter, DO 520 Se 5th Ave #1113, Ft. Lauderdale, FL 33301 Ph: () - | Dr Susan Ledbetter, DO 3200 S University Dr, Davie, FL 33328-2018 Ph: (954) 262-4100 |
Dr. Nathalie Koenig, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5480 Griffin Rd, Davie, FL 33314 Phone: 954-210-9770 | |
Dr. Gayan Poovendran, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 10650 W State Road 84 Ste 111, Davie, FL 33324 Phone: 305-209-1951 | |
Dane Lawrence, FNP Family Medicine Medicare: Medicare Enrolled Practice Location: 4610 S University Dr, Davie, FL 33328 Phone: 954-629-7486 | |
Amalia Hernandez, N/A Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10550 W State Road 84 Lot 380, Davie, FL 33324 Phone: 786-488-0264 | |
Mr. Cheryl Terri Lochan, MSN, APRN, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6140 Sw 24th Place, Apt 105, Davie, FL 33314 Phone: 954-483-0135 | |
Dr. Camille Zampino Bentley, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3200 S University Dr, Davie, FL 33328 Phone: 954-262-4100 | |
Mrs. Fareeda Salma Baksh-deen, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3200 S University Dr, Davie, FL 33328 Phone: 954-262-4100 |