Healthcare Provider Details

I. General information

NPI: 1295657302
Provider Name (Legal Business Name): LYNDSEY SUTHERLAND DNP PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1555 HOWELL BRANCH RD STE B2
WINTER PARK FL
32789-1170
US

IV. Provider business mailing address

1555 HOWELL BRANCH RD STE B2
WINTER PARK FL
32789-1170
US

V. Phone/Fax

Practice location:
  • Phone: 407-641-4066
  • Fax:
Mailing address:
  • Phone: 407-641-4066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LYNDSEY KELLEY SUTHERLAND
Title or Position: OWNER, DNP
Credential:
Phone: 407-227-9113