Individual
ALEX SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
603 7TH ST S STE 100, ST PETERSBURG, FL 33701-4719
(727) 553-7431
(727) 553-7432
Mailing address
603 7TH ST S STE 100, ST PETERSBURG, FL 33701-4719
(727) 553-7431
(727) 553-7432
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME163002
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2018
Last updated
08/02/2024
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