Sutherland, James M.

Sutherland, James M. is an individual health care provider with primary practice located at 1061 Medical Center Dr Ste 102 , Orange City FL 32763-8225. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Sutherland, James M. can be contacted via phone (386) 917-7620.

Contact Information

Primary practice address
1061 Medical Center Dr Ste 102 Orange City FL 32763-8225
Phone: (386) 917-7620
Fax: (386) 917-7621
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X OS8951 Florida
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X OS8951 Florida
Allopathic & Osteopathic Physicians / Surgery 208600000X OS8951 Florida

Profile Details

NPI number 1811982945
LBN Legal business name Sutherland, James M.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Oct 10th, 2019 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811982945 NPPES
Florida MEDICAID 267216200

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