Organization
E SULLIVAN ARNP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH SULLIVAN ARNP (PRESIDENT)
(954) 447-7020
Entity
Organization
Contact information
Practice address
10979 MAINSAIL DR, HOLLYWOOD, FL 33026-4720
(954) 447-7020
Mailing address
10979 MAINSAIL DR, HOLLYWOOD, FL 33026-4720
(954) 447-7020
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3017212
FL
Other
Enumeration date
01/28/2011
Last updated
01/28/2011
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