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Individual

CYNTHIA EILEEN SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
216 E EAU GALLIE BLVD, INDIAN HARBOUR BEACH, FL 32937-4874
(321) 361-5579
(321) 434-3682
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 361-5579

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9435061
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
018876400
FL
01
IR690Y
MEDICARE HF
FL
Enumeration date
05/27/2010
Last updated
09/29/2025
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