Glen E Sutherland Md Pa

LBN: Glen E Sutherland Md Pa
Glen E Sutherland Md Pa is an health care organization with primary practice located at 1930 Ne 47Th St Suite 301, Fort Lauderdale FL 33308-7718. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as the primary health care specialty. Glen E Sutherland Md Pa can be contacted via phone (954) 772-6781, or through Sutherland, Glen Edward via phone (954) 772-6781.

Contact Information

Primary practice address
1930 Ne 47Th St Suite 301 Fort Lauderdale FL 33308-7718
Phone: (954) 772-6781
Fax: (954) 772-6793
Website:
Map and Directions
Authorized official contact:
Name: Sutherland, Glen Edward Doctor of Medicine (MD)
Phone: (954) 772-6781

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 30881 Florida

Profile Details

NPI number 1326102252
LBN Legal business name Glen E Sutherland Md Pa
DBA Doing business as
Authorized official Sutherland, Glen Edward Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2006
Last updated Aug 21st, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326102252 NPPES
Florida MEDICAID 037094100

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