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Individual

DR. JOSEPH FRANCIS SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
JOSEPH SULLIVAN, M.D

Contact information

Practice address
811 7TH AVE S, NAPLES, FL 34102-6715
(239) 263-6620
Mailing address
811 7TH AVE S, NAPLES, FL 34102-6715

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
ME11859
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11044Z
MEDICARE ID UNPSPECIFIED
FL
Enumeration date
07/26/2006
Last updated
08/13/2008
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