Individual ProviderDean Scott SutherlandChiropractorChiropractic ProvidersPractice Address4705 26th St W, Suite B, Bradenton, FL 34207-1704(941) 755-1581PECOS EnrollmentBased on the most recent information from CMS, provider Dean Scott Sutherland does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:51 AM.Profile DetailsProvider ID1104936277Provider TypeIndividualFull NameSutherland, Dean ScottTitleDr.CredentialDCGenderMaleSole ProprietorNoEnumeration Date8/30/2006Last Updated8/13/2008Contact InformationPractice LocationPractice Address4705 26th St W, Suite B, Bradenton, FL 34207-1704Phone(941) 755-1581Fax(941) 758-3577Mailing LocationMailing Address4705 26th St W, Suite B, Bradenton, FL 34207-1704Phone(941) 755-1581Fax(941) 758-3577Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseCH6960FloridaProvider IdentifiersIDDescriptionIssuerID55285DescriptionOtherIssuerBLUE CROSS BLUE SHIELDFloridaID55285XDescriptionOtherIssuerMEDICARE IDFlorida