OrganizationActive
Susan C Fair DO PA
NPI 1407055874 · Family Medicine Physician · Merritt Island, FL
Provider details
- NPI number
- 1407055874
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Susan Fair, President(321) 455-1226
- License
- OS7489 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
595 N Courtenay Pkwy
Suite 102
Merritt Island, FL 32953-4851
Phone: (321) 455-1226
Fax: (321) 456-5531
Street-level locationGet directions
Mailing address
595 N Courtenay Pkwy
Merritt Island, FL 32953-4851
Registry dates
- Enumerated
- 2007-07-16
- Last updated
- 2007-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.