Individual
SUTRAH JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3196 N FEDERAL HWY, BOCA RATON, FL 33431-6700
(561) 849-3000
Mailing address
11253 CORAL REEF DR, BOCA RATON, FL 33498-1966
(954) 756-2617
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
9120062
FL
363AM0700X
Medical Physician Assistant
Primary
9120062
FL
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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