Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Susan C Fair DO PA

Organization Family Medicine Physician · NPI 1407055874

Susan C Fair DO PA is a Family Medicine Physician in Merritt Island, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

595 N Courtenay Pkwy Ste 102
Merritt Island, FL 32953-4851
Phone: (321) 455-1226
Fax: (321) 456-5531
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS7489 (FL)

Record details

NPI number1407055874
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Fair — President · (321) 455-1226
NPI enumeratedJuly 16, 2007
Last updated in NPPESSeptember 14, 2007
Mailing address595 N Courtenay Pkwy, Suite 102, Merritt Island, FL 32953-4851

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