Individual
SUZANNE SOUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3400 BEE RIDGE RD, SUITE 120, SARASOTA, FL 34239-7243
(941) 924-9900
(941) 924-9919
Mailing address
3400 BEE RIDGE RD, SUITE 120, SARASOTA, FL 34239-7243
(941) 924-9900
(941) 924-9919
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME78267
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259151100
—
FL
01
—
35423
BC FLORIDA
FL
Enumeration date
07/18/2006
Last updated
09/02/2011
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