Individual
MRS. GABRIELA YCAZA SUTHERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 7TH AVE N, SAINT PETERSBURG, FL 33705-1388
(727) 825-1100
Mailing address
7238 21ST ST N, SAINT PETERSBURG, FL 33702-4814
(727) 542-6951
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9387123
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
11000873
FL
Other
Enumeration date
11/11/2018
Last updated
10/25/2020
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