Individual
PETER J SUKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
379 6TH AVE W, BRADENTON, FL 34205-8820
(941) 782-4100
(941) 782-4101
Mailing address
PO BOX 9478, BRADENTON, FL 34206-9478
(941) 782-4299
(941) 782-4301
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME110770
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005634900
—
FL
Enumeration date
03/15/2006
Last updated
02/09/2016
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