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SUSAN C FAIR DO PA
NPI 1407055874
Family Medicine in Merritt Island, FL

Active since July 16, 2007CLIA 10D1072915 · Waiver
595 N COURTENAY PKWY, SUITE 102, MERRITT ISLAND, FL 32953(321) 455-1226(321) 456-5531 Get Directions Write a Review

NPPES record last updated: September 14, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susan C Fair Do Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN C FAIR DO PA (NPI 1407055874) is a healthcare organization registered as a family medicine in Merritt Island, Florida and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through August 27, 2027 and lists Susan C Fair, President, as its authorized official.

NPPES Registry Identity

NPI1407055874
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSUSAN C FAIR DO PA
Location Address595 N COURTENAY PKWY, SUITE 102Merritt Island, FL 32953-4851
Mailing Address595 N Courtenay Pkwy, Suite 102Merritt Island, FL 32953-4851 · (321) 455-1226 · Fax (321) 456-5531
Phone(321) 455-1226
Fax(321) 456-5531
Organization SubpartNo
Authorized OfficialSusan C FairPresident · (321) 455-1226
Enumeration DateJuly 16, 2007
Last NPPES UpdateSeptember 14, 2007
✔ NPI 1407055874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · OS7489
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
595 N COURTENAY PKWY, Merritt Island, FL 32953
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Other Identifiers 1

OtherOS7489FL · Medical License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1072915

Susan C Fair Do PA · Merritt Island, FL
Active · expires Aug 27, 2027
CLIA Number10D1072915
Laboratory TypePhysician Office
Certificate Effective DateAugust 28, 2025
Certificate Expiration DateAugust 27, 2027
Laboratory DirectorSusan C. Fair
Laboratory Phone(321) 455-1226
Laboratory LocationSusan C Fair Do PA595 N Courtenay Pkwy Ste 102, Merritt Island, FL 32953
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STANLEY GOLOVAC MD
Pain Medicine (Interventional Pain Medicine)
595 N COURTENAY PKWY, SUITE 101
MERRITT ISLAND, FL 32953
Brevard County (321) 784-8211
RODERICK ANTHONY FOSTER LMT
Massage Therapist
595 N COURTENAY PKWY, #203
MERRITT ISLAND, FL 32953
Brevard County (321) 453-8484
SPACE COAST SURGERY CENTER LLC
Clinic/Center (Ambulatory Surgical)
595 N COURTENAY PKWY, 103
MERRITT ISLAND, FL 32953
Brevard County (813) 569-6500
STANGO P.A.
Pain Medicine (Interventional Pain Medicine)
595 N COURTENAY PKWY, STE. 101
MERRITT ISLAND, FL 32953
Brevard County (214) 378-4661
THE PAIN INSTITUTE
Non-Pharmacy Dispensing Site
595 N COURTENAY PKWY
MERRITT ISLAND, FL 32953
Brevard County (321) 784-8211
VIRGINIA CHAN PT
Physical Therapist
595 N COURTENAY PKWY, #203
MERRITT ISLAND, FL 32953
Brevard County (321) 453-8484
SUSAN CAROLE FAIR DO
Family Medicine
595 N COURTENAY PKWY, SUITE 102
MERRITT ISLAND, FL 32953
Brevard County (321) 455-1226
THE PAIN INSTITUTE INC
Pain Medicine (Interventional Pain Medicine)
595 N COURTENAY PKWY
MERRITT ISLAND, FL 32953
Brevard County (321) 784-8211

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan C Fair Do PA's NPI number?

The NPI number for Susan C Fair Do PA is 1407055874. It was assigned to this organization in the NPPES registry on July 16, 2007.

Where is Susan C Fair Do PA located?

Susan C Fair Do PA is located at 595 N Courtenay Pkwy Suite 102, Merritt Island, FL 32953. The listed phone number is (321) 455-1226.

What is Susan C Fair Do PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Susan C Fair Do PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1072915) is associated with this NPI, valid through August 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Susan C Fair Do PA was last updated on September 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.