Individual
DR. JOHN SULLIVAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
37026 US HIGHWAY 19 N, PALM HARBOR, FL 34684-1109
(727) 938-1935
Mailing address
37026 US HIGHWAY 19 N, PALM HARBOR, FL 34684-1109
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME0043162
FL
Other
Enumeration date
08/22/2005
Last updated
07/08/2007
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