Individual
DR. DEAN SCOTT SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4705 26TH ST W, SUITE B, BRADENTON, FL 34207-1704
(941) 755-1581
(941) 758-3577
Mailing address
4705 26TH ST W, SUITE B, BRADENTON, FL 34207-1704
(941) 755-1581
(941) 758-3577
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH6960
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55285
BLUE CROSS BLUE SHIELD
FL
01
—
55285X
MEDICARE ID
FL
Enumeration date
08/30/2006
Last updated
08/13/2008
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