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1346286143
MARK HERBERT SUTHERLAND
BRANDON, FL
NPI
1346286143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9106995)
Enumeration Date
2006-06-21
Last Update Date
2012-12-07
Business Address
-- MARK HERBERT SUTHERLAND PA
799 LUMSDEN RD.
BRANDON, FL 33511
Phone number: 813-684-1199
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Mailing Address
-- MARK HERBERT SUTHERLAND PA
799 LUMSDEN RD.
BRANDON, FL 33511
Phone number: 813-684-1199
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