Individual
JAMES THOMAS SUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
588 STERTHAUS DR, ORMOND BEACH, FL 32174-5128
(386) 672-9503
(386) 672-0386
Mailing address
588 STERTHAUS DR, ORMOND BEACH, FL 32174-5128
(386) 672-9503
(386) 672-0386
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
ME0044108
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004179
FHCP
FL
01
—
020007754
RR MEDICARE INDIVIDUAL
—
01
—
64518
BSBSFL
FL
01
—
D57714
UPIN
—
01
—
DT5266
RR MEDICARE GROUP
—
01
—
GT215A
MEDICARE-CMS
—
Enumeration date
06/20/2005
Last updated
08/05/2019
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