GLEN E SUTHERLAND (NPI# 1144292384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144292384 |
| Entity Type | Individual |
| Full Name | GLEN E SUTHERLAND |
| Credential | MD |
| Practice Address |
1625 Se 3rd Ave Ste 623 Fort Lauderdale FL 33316-2521 |
| Mailing Address |
1700 Nw 49th Street Suite 125 Fort Lauderdale FL 33309-3763 |
| Practice Telephone | 9547126427 |
| Practice Fax Number | 9547126475 |
| Mailing Telephone | 9547126427 |
| Mailing Fax Number | 9547126475 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2019-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
30881 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 037094100 | 05 |
| Street Address |
1625 SE 3RD AVE STE 623 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33316-2521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891850921 | Naaz Fatteh | Internal Medicine | 1625 Se 3rd Ave Ste 623, Fort Lauderdale, FL 33316 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064040 | Jonathan David Ortiz | Behavior Technician | 1717 Se 4 Ave, Fort Lauderdale, FL 33316 | 2020-05-15 |
| 1306311626 | Gateway Recovery Center, LLC | Counselor | 1421 Sw 4th Avenue, Suite B, Fort Lauderdale, FL 33316 | 2018-10-13 |
| 1588141626 | Natan Bastoky | Family Medicine | 1600 S Andrews Ave # Gme, Fort Lauderdale, FL 33316 | 2018-07-22 |
| 1104320126 | Kathleen Kanani Graham | Pharmacist | 1401 S. Federal Highway, Ft. Lauderdale, FL 33316 | 2018-03-23 |
| 1093224271 | Lacosta Therapy, LLC | Behavioral Analyst | 412 Se 15 St., #4, Ft. Lauderdale, FL 33316 | 2017-09-20 |
| 1124560370 | Yulia Rybalka | Pharmacist | 217 Se 10th Street, Ft Lauderdale, FL 33316 | 2016-11-04 |
| 1730635376 | Brian Alexander Reyes | Specialist/Technologist | 303 Se 3rd Ave, Ft Lauderdale, FL 33316 | 2016-09-01 |
| 1649726282 | Jennifer Tabares | Specialist/Technologist | 303 Southeast 3rd Av, Fort Lauderdale, FL 33316 | 2016-09-01 |
| 1609236850 | Diane Nicole Shilling | Nurse Practitioner | 1001 South Andrews Avenue, Suite 100, Ft. Lauderdale, FL 33316 | 2016-03-01 |
| 1396113239 | Victoria Rosado | Adult Companion | 150 Se 12th Street, 401(b), Fort Lauderdale, FL 33316 | 2015-09-09 |
| Find all providers in zip 33316 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649456997 | North Broward Hospital District | Internal Medicine | 1600 S Andrews Ave Fl 8, Fort Lauderdale, FL 33316-2510 | 2008-01-17 |
| 1992902753 | Carlos O Guerra | Internal Medicine | 5601 N. Dixie Highway, Suite #107, Fort Lauderdale, FL 33334 | 2007-06-27 |
| 1356544795 | Jerry F Ondrusek Md Pa | Internal Medicine | 2817 E Oakland Park Blvd, Suite 100, Fort Lauderdale, FL 33306-1889 | 2007-06-05 |
| 1396799383 | Jaroslav F Ondrusek | Internal Medicine | 2817 East Oakland Park Blvd, Suite 100, Fort Lauderdale, FL 33306-1889 | 2006-05-22 |
| 1841296670 | Stephen A. Renae | Internal Medicine | 4800 Ne 20th Ter, Ste 115, Fort Lauderdale, FL 33308-4510 | 2005-06-27 |
| 1457763740 | North Broward Hospital District | Internal Medicine | 1625 Se 3rd Ave, Suite 601, Fort Lauderdale, FL 33316-2521 | 2014-05-21 |
| 1114366580 | North Broward Hospital District | Internal Medicine | 1625 Se 3rd Avenue, Suite 623, Fort Lauderdale, FL 33316-2521 | 2013-06-19 |
| 1639476633 | Valda Chijide | Internal Medicine | 6451 N Federal Hwy, Suite 800, Fort Lauderdale, FL 33308-1402 | 2011-02-28 |
| 1407163728 | Infections Managed Inc | Internal Medicine | 4800 Ne 20th Terrace, Suite 115, Fort Lauderdale, FL 33308-4510 | 2010-09-08 |
| 1326102252 | Glen E Sutherland Md Pa | Internal Medicine | 1930 Ne 47th St, Suite 301, Fort Lauderdale, FL 33308-7718 | 2006-12-22 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33316 |
Please comment or provide details below to improve the information on GLEN E SUTHERLAND.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.