Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | ME89915 | FL |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | ME89915 | FL |
NPI | 1205803111 |
---|---|
Provider Name | Aaron Matthew Sudbury |
First Address | Bradenton, FL 34211-4906 |
Second Address | Bradenton, FL 34208 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2006 |
Last Update Date | 24/05/2016 |