Sudderth, David B
Sudderth, David B is an individual health care provider with primary practice located at 3210 Cleveland Ave Suite 100, Fort Myers FL 33901-7182. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Sudderth, David B can be contacted via phone (239) 936-6778.Contact Information
Primary practice address
3210 Cleveland Ave Suite 100
Fort Myers FL 33901-7182
Phone: (239) 936-6778
Fax: (239) 210-0225
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | ME55197 | Florida |
Profile Details
NPI number | 1902805856 |
---|---|
LBN Legal business name | Sudderth, David B |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 21st, 2005 |
Last updated | Jun 18th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1902805856 | NPPES |
Florida | Other | 1902805856 | NPI |
Florida | Other | 08754 | NPI |
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