Organization
SULLIVAN SINUS AND ALLERGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL PATRICK SULLIVAN MD (OWNER/MANAGER)
(321) 674-9094
Entity
Organization
Contact information
Practice address
930 S HARBOR CITY BLVD STE 200, MELBOURNE, FL 32901-1964
(321) 674-9094
(321) 674-9289
Mailing address
116 OCEAN TER, INDIALANTIC, FL 32903-3417
(321) 674-9094
(321) 674-9289
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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