Individual
DR. TORY SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16100 NE 16TH AVE STE A, NORTH MIAMI BEACH, FL 33162-4708
(305) 652-8600
(305) 652-3139
Mailing address
16100 NE 16TH AVE STE A, NORTH MIAMI BEACH, FL 33162-4708
(305) 652-8600
(305) 652-3139
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME81131
FL
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
ME81131
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267268500
—
FL
Enumeration date
05/03/2006
Last updated
03/18/2025
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