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

Ihor Ihorovych Susak

Individual provider Nurse Practitioner · NPI 1598547481

Ihor Ihorovych Susak is a Nurse Practitioner in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2023

Practice location Address checks out

3900 University Blvd S
Jacksonville, FL 32216-4331
Phone: (904) 222-6656
Fax: (904) 222-6667
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN11027667 (FL)

Record details

NPI number1598547481
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 16, 2023
Last updated in NPPESOctober 16, 2023
Certification dateOctober 16, 2023
Mailing address3900 University Blvd S, Jacksonville, FL 32216-4331

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