Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | CH9218 | FL |
NPI | 1003020983 |
---|---|
Provider Name | Dr. Andrew D Sutherland |
First Address | Orlando, FL 32839 |
Second Address | Orlando, FL 32839 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2007 |
Last Update Date | 23/11/2009 |