Individual
MS. CRYSTAL F SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 666-6511
Mailing address
13030 SW 143RD TER, MIAMI, FL 33186-8397
(305) 971-2354
(305) 971-2354
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9103646
FL
Other
Enumeration date
06/22/2009
Last updated
01/27/2015
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