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Individual

FRANCIS RYAN SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
800 E CYPRESS CREEK RD STE 304, FORT LAUDERDALE, FL 33334-3522
(954) 491-7758
Mailing address
800 E CYPRESS CREEK RD STE 304, FORT LAUDERDALE, FL 33334-3522
(954) 491-7758

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00748200
NJ
363A00000X
Physician Assistant
Primary
PA9118839
FL

Other

Enumeration date
11/01/2022
Last updated
06/16/2024
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