Sutherland, Glen E
Sutherland, Glen E is an individual health care provider with primary practice located at 1625 Se 3Rd Ave Ste 623 , Fort Lauderdale FL 33316-2521. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Sutherland, Glen E can be contacted via phone (954) 712-6427.Contact Information
Primary practice address
1625 Se 3Rd Ave Ste 623
Fort Lauderdale FL 33316-2521
Phone: (954) 712-6427
Fax: (954) 712-6475
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 30881 | Florida |
Profile Details
| NPI number | 1144292384 |
|---|---|
| LBN Legal business name | Sutherland, Glen E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Aug 8th, 2019 - about 5 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 | 1144292384 | NPPES |
| Florida | MEDICAID | 037094100 |
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