MEDICARE: GRACE-ANN SUTHERLAND ARNP

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	3314612	FL
2	363LF0000X	Family Nurse Practitioner	3314612	FL

General Provider Information

NPI Number	:	1376857839
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRACE-ANN SUTHERLAND ARNP

Provider Business Mailing Address
First Line	:	1000 DARDEN CENTER DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32837-4032
Country	:	US
Telephone Number	:	407-245-4921
Fax Number	:	407-245-4924

Provider Business Practice Location Address
First Line	:	1000 DARDEN CENTER DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32837-4032
Country	:	US
Telephone Number	:	407-245-4921
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2010
Last Update Date	:	06/23/2026

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