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NPI Code Detail

MEDICARE: MS. AYANNA ROXANNE SUTHERLAND

MEDICARE: MS. AYANNA ROXANNE SUTHERLAND
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency235031FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1460780064OTHERKYCOMPANION SERVICES
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316410111
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AYANNA ROXANNE SUTHERLAND
Provider Business Mailing Address
First Line : 840 US HIGHWAY 1
Second Line : STE 435C
City : NORTH PALM BEACH
State : FL
Zip : 33408-3829
Country : US
Telephone Number : 561-294-7741
Fax Number : 561-335-1077
Provider Business Practice Location Address
First Line : 840 US HIGHWAY 1
Second Line : STE 435C
City : NORTH PALM BEACH
State : FL
Zip : 33408-3829
Country : US
Telephone Number : 561-444-5828
Fax Number : 561-444-7852
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2019
Last Update Date : 09/24/2020

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Directions to “ MS. AYANNA ROXANNE SUTHERLAND ” Practice Location

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