Healthcare Provider Details

I. General information

NPI: 1013987791
Provider Name (Legal Business Name): SUZANNE R LUTTON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2006
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5951 CATTLERIDGE AVE
SARASOTA FL
34232-9801
US

IV. Provider business mailing address

5951 CATTLERIDGE AVE
SARASOTA FL
34232-9801
US

V. Phone/Fax

Practice location:
  • Phone: 941-379-1850
  • Fax: 941-379-1855
Mailing address:
  • Phone: 941-379-1850
  • Fax: 941-379-1855

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RA0001X
TaxonomyAdvanced Heart Failure and Transplant Cardiology Physician
License NumberME128682
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number35068473R
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberME128682
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: