Individual
JACQUELINE FLORENTINO SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
920 W INDIANTOWN RD, SUITE 107, JUPITER, FL 33458-6847
(561) 747-7707
Mailing address
920 W INDIANTOWN RD, SUITE 107, JUPITER, FL 33458-6847
(561) 747-7707
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
9264181
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9264181
ARNP
FL
Enumeration date
08/21/2013
Last updated
08/21/2013
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