| Glen E Sutherland Md Pa | |
|
1930 Ne 47th St Suite 301 Fort Lauderdale FL 33308-7718 | |
| (954) 772-6781 | |
| (954) 772-6793 |
| Full Name | Glen E Sutherland Md Pa |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 1930 Ne 47th St, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Glen Edward Sutherland (PHYSICIAN) |
| Authorized Official Contact | 9547726781 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glen E Sutherland Md Pa 1930 Ne 47th St Suite 301 Fort Lauderdale FL 33308-7718 Ph: (954) 772-6781 | Glen E Sutherland Md Pa 1930 Ne 47th St Suite 301 Fort Lauderdale FL 33308-7718 Ph: (954) 772-6781 |
| NPI Number | 1326102252 |
|---|---|
| Provider Enumeration Date | 12/22/2006 |
| Last Update Date | 08/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326102252 | NPI | - | NPPES |
| 037094100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 30881 (Florida) | Primary |
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