| Susan L Kotoff, | |
|
3601 W Commercial Blvd, Suite 5, Ft Lauderdale, FL 33309-3300 | |
| (954) 485-5666 | |
| (954) 484-1651 |
| Full Name | Susan L Kotoff |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 3601 W Commercial Blvd, Ft Lauderdale, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134197338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP9232212 (Florida) | Primary |
| Entity Name | Sheridan Healthcorp Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629781711 PECOS PAC ID: 3173429693 Enrollment ID: O20031208000355 |
| Entity Name | Anesco North Broward Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699763862 PECOS PAC ID: 3173436094 Enrollment ID: O20040225000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan L Kotoff, 2000 Island Blvd, #2608, Aventura, FL 33160-4957 Ph: () - | Susan L Kotoff, 3601 W Commercial Blvd, Suite 5, Ft Lauderdale, FL 33309-3300 Ph: (954) 485-5666 |
Peter W Cross, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1126 S Federal Hwy, #149, Ft Lauderdale, FL 33316 Phone: 808-292-5636 | |
Greta E. Steele, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3601 W Commercial Blvd, Ft Lauderdale, FL 33309 Phone: 954-703-2931 | |
Victoria M Tramazzo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6401 North Federal Highway, Imperial Point Med Center, Ft Lauderdale, FL 33308 Phone: 954-776-8500 | |
Jacklyn Gramer, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3601 W Commercial Blvd, Suite 5, Ft Lauderdale, FL 33309 Phone: 954-485-5666 Fax: 954-484-1651 | |
Steve Khavandegaran, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3601 W Commercial Blvd, Suite 5, Ft Lauderdale, FL 33309 Phone: 954-703-2931 Fax: 954-585-9207 | |
Mario Rosa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3601 W Commercial Blvd, Suite 5, Ft Lauderdale, FL 33309 Phone: 954-485-5666 Fax: 954-484-1651 |