Individual
KRISTI R SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6101 CENTRAL AVE, ST PETERSBURG, FL 33710-8529
(727) 381-4674
(727) 341-1182
Mailing address
4543 INDIANAPOLIS ST NE, ST PETERSBURG, FL 33703-4316
(727) 288-5448
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
01/19/2023
Last updated
01/19/2023
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