Individual
MRS. CAROL A SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
220 9TH ST, PORT ST JOE, FL 32456-1924
(850) 229-8244
(850) 229-6003
Mailing address
PO BOX 476, 21890 NE CR 69A, BLOUNTSTOWN, FL 32424-0476
(850) 674-4422
(850) 674-4422
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME 47545
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044054004
—
FL
Enumeration date
12/02/2005
Last updated
12/14/2009
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