Individual provider · Type 1 NPI

Mary Josephine Sutherland, P.A.-C

Medical Physician Assistant · Fleming Island, FL

NPI number 1912927237 Active

Practice location

3189 US Highway 17
Fleming Island, FL 32003-7109

Fax (904) 339-9945

Mailing address

3189 Highway 17
Green Cove Springs, FL 32043-9371

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA2225 (FL)
Medical Physician Assistant Primary 363AM0700XPA2225 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1912927237

Mary Josephine Sutherland, P.A.-C's National Provider Identifier is 1912927237, issued on Jul 20, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fleming Island, FL. The record was last updated on Sep 21, 2022.