Individual
DR. MAUREEN L SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8300 W SUNRISE BLVD, PLANTATION, FL 33322-5406
(954) 577-6000
Mailing address
8300 W SUNRISE BLVD, PLANTATION, FL 33322-5406
(954) 577-6000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME53277
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001802792
—
PA
Enumeration date
02/23/2006
Last updated
10/24/2011
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