# JAMES T SUTTON MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093069395
- **Authorized official:** JAMES T SUTTON MD (DR)
- **Authorized official phone:** (386) 274-0250

## Contact information

- **Practice address:** 1890 LPGA BLVD, STE 250, DAYTONA BEACH, FL 32117-7130
- **Practice address phone:** (386) 274-0250
- **Practice address fax:** (386) 274-0269
- **Mailing address:** 1890 LPGA BLVD, STE 250, DAYTONA BEACH, FL 32117-7130
- **Mailing address phone:** (386) 274-0250
- **Mailing address fax:** (386) 274-0269

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/08/2012
- **Last updated:** 11/08/2012