Organization
FLORIDA SPINE AND BRAIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID B SUDDERTH MD (PRESIDENT)
(239) 275-6690
Entity
Organization
Contact information
Practice address
20 BARKLEY CIR, SUITE 201, FORT MYERS, FL 33907-4545
(239) 275-6690
Mailing address
252 W MARION AVE, PUNTA GORDA, FL 33950-4435
(941) 205-2417
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
06/27/2008
Last updated
11/03/2010
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