# ANNAMARIE SULLIVAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1740620673
- **Gender:** F
- **Credential:** O.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC5170 | FL | Yes |

## Other

- **Enumeration date:** 06/25/2013
- **Last updated:** 02/21/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | OPC5170 | FLORIDA DOH OPTOMETRY LICENSE | FL |
| 01 | — | SIOKG | BCBS | FL |