Provider Demographics
NPI:1386977262
Name:SUSSMAN, KIMBERLY ANN (DO)
Entity type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:ANN
Last Name:SUSSMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:7545 W BOYNTON BEACH BLVD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-6166
Mailing Address - Country:US
Mailing Address - Phone:561-736-0881
Mailing Address - Fax:561-736-0887
Practice Address - Street 1:7545 W BOYNTON BEACH BLVD
Practice Address - Street 2:201
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-6166
Practice Address - Country:US
Practice Address - Phone:561-906-3238
Practice Address - Fax:561-736-0887
Is Sole Proprietor?:No
Enumeration Date:2009-09-10
Last Update Date:2012-05-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS 10321207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine