MEDICARE: ADELINE ROSE SUTTON PA-C

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	363A00000X	Physician Assistant		FL

General Provider Information

NPI Number	:	1831042076
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADELINE ROSE SUTTON PA-C

Provider Business Mailing Address
First Line	:	900 VILLAGE SQUARE XING STE 290
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-4552
Country	:	US
Telephone Number	:	239-313-2517
Fax Number	:

Provider Business Practice Location Address
First Line	:	9905 OLD SAINT AUGUSTINE RD STE 200
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32257-8983
Country	:	US
Telephone Number	:	904-296-1313
Fax Number	:	866-903-4727

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

Provider Enumeration Date	:	02/17/2026
Last Update Date	:	04/07/2026

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Directions to “ ADELINE ROSE SUTTON PA-C” Practice Location

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