Mary J. Sutherland P.A.-C
Medical Physician Assistant in Fleming Island, FL(View on Map)
Full Name
Mary Josephine Sutherland P.A.-C
NPI Number
1912927237
NPI Type
Individual Provider
Gender
Female
Enumeration Date
07/20/2006
Specialties
(Taxonomies)Licenses
State
Florida
License Number
PA2225
Contact
Information
Purpose
Mailing
Location
Address
3189 HIGHWAY 17
3189 US HIGHWAY 17
City
Green Cove Springs
Fleming Island
State
FL
FL
Postal Code
32043-9371
32003-7109
Country
US
US
Telephone Number
(904) 621-0247
(904) 621-0247
Identifiers
Identifier
291115900
Identifier State
FL
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/21/2022
Provider Address
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