Individual
GREGORY ALLEN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
Mailing address
13000 BRUCE B DOWNS BLVD # 116A, TAMPA, FL 33612-4745
(813) 972-2000
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
ME120043
FL
2084P0800X
Psychiatry Physician
Primary
ME120043
FL
2084P0805X
Geriatric Psychiatry Physician
ME120043
FL
Other
Enumeration date
03/20/2012
Last updated
01/20/2026
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