Individual
BARRY WILLIAM SUTPHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
10940 STATE R OAD 70 EAST,, SUITE 101, BRADENTON, FL 34202
(941) 758-4055
Mailing address
10940 STATE R OAD 70 EAST,, SUITE 101, BRADENTON, FL 34202
(941) 758-4055
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH6537
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
357959
WELLCARE
FL
05
—
381470000
—
FL
01
—
55515
BCBS
FL
Enumeration date
06/22/2006
Last updated
05/02/2008
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