Sudderth, David B

Sudderth, David B is an individual health care provider with primary practice located at 3210 Cleveland Ave Suite 100, Fort Myers FL 33901-7182. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Sudderth, David B can be contacted via phone (239) 936-6778.

Contact Information

Primary practice address
3210 Cleveland Ave Suite 100 Fort Myers FL 33901-7182
Phone: (239) 936-6778
Fax: (239) 210-0225
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME55197 Florida

Profile Details

NPI number 1902805856
LBN Legal business name Sudderth, David B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Jun 18th, 2013 - about 13 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 1902805856 NPPES
Florida Other 1902805856 NPI
Florida Other 08754 NPI

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