Individual
DR. JAMES M. SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1061 MEDICAL CENTER DR STE 102, ORANGE CITY, FL 32763-8225
(386) 917-7620
(386) 917-7621
Mailing address
1061 MEDICAL CENTER DR, SUITE 310, ORANGE CITY, FL 32763-8200
(386) 917-7620
(386) 917-7621
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS8951
FL
2086S0127X
Trauma Surgery Physician
OS8951
FL
2086S0129X
Vascular Surgery Physician
OS8951
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267216200
—
FL
Enumeration date
09/14/2005
Last updated
10/10/2019
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