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Organization
JOHN E SULLIVAN MD PA
Active
Organization
JOHN E SULLIVAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN EDWIN SULLIVAN MD (PRESIDENT)
(941) 365-2918
Entity
Organization
Contact information
Practice address
1880 ARLINGTON ST, SUITE 203, SARASOTA, FL 34239-3524
(941) 365-2918
(941) 366-1658
Mailing address
1880 ARLINGTON ST, SUITE 203, SARASOTA, FL 34239-3518
(941) 365-2918
(941) 366-1658
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045524500
—
FL
Enumeration date
12/09/2009
Last updated
12/09/2009
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