Individual
DR. DAVID B SUDDERTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3210 CLEVELAND AVE, SUITE 100, FORT MYERS, FL 33901-7182
(239) 936-6778
(239) 210-0225
Mailing address
3210 CLEVELAND AVE, SUITE 100, FORT MYERS, FL 33901-7182
(239) 936-6778
(239) 210-0225
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME55197
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08754
BCBS
FL
01
—
1902805856
NPI
FL
Enumeration date
07/21/2005
Last updated
06/18/2013
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