Individual
DEAN PATRICK SUTHERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1921 WALDEMERE ST STE 701, SARASOTA, FL 34239-2913
(941) 487-2160
(941) 487-2170
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME79474
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274342600
—
FL
01
—
PENDING
FL MEDICARE
FL
Enumeration date
08/10/2006
Last updated
03/16/2020
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