Individual
DR. JOHN EDWARD SULLIVAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1611 NW 12TH AVE, JACKSON MEMORIAL HOSPITAL, MIAMI, FL 33136
(305) 585-7872
Mailing address
13060 KEYSTONE TER, NORTH MIAMI, FL 33181-2250
(305) 982-1908
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME93576
FL
Other
Enumeration date
01/23/2006
Last updated
07/08/2007
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