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Brendan Kelley Suhr

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

21 Columbia St Ste 201, Orlando, FL 32806-1133

PECOS Enrollment

This provider is enrolled in PECOS as BRENDAN SUHR.

Based on the most recent information from CMS, provider Brendan Kelley Suhr is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1932819638
Provider Type
Individual
Full Name
Suhr, Brendan Kelley
Title
Mr.
Credential
APRN

Gender
Male
Sole Proprietor
No
Enumeration Date
12/2/2022
Last Updated
4/5/2023

Contact Information

Practice Location

21 Columbia St Ste 201, Orlando, FL 32806-1133

(321) 841-1827

Unlisted Fax

Mailing Location

21 Columbia St, Orlando, FL 32806-1133

(321) 841-6600

(321) 841-4085

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN11023114 Florida

Brendan Kelley Suhr

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Anderson, Vanetta

Dragon, Caitlin Louise

Gerity, Sandra Lucinda

Delacruz, Courtney Regis

Walsh, Carol A

Mullis-Ingram, Angela

Sanchez, Jacqueline Yvette

Vogel, Kathryn Claire

Settineri, Jessica Lynn