Individual
DANIEL B. SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2815 S SEACREST BLVD, BETHESDA MEMORIAL HOSPITAL, BOYNTON BEACH, FL 33435-7934
(561) 737-7733
(561) 374-5717
Mailing address
1203 PINEHURST DR, BOYNTON BEACH, FL 33426-5879
(561) 400-2729
(561) 374-5717
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS6041
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255004100
—
FL
01
—
44456
BCBS FL
FL
Enumeration date
06/24/2006
Last updated
01/07/2011
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