Individual
DR. KEVIN J. SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-8426
(352) 273-7770
Mailing address
PO BOX 100296, GAINESVILLE, FL 32610-0296
(352) 273-7770
(352) 392-0547
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME70848
FL
207LP3000X
Pediatric Anesthesiology Physician
ME70848
FL
208000000X
Pediatrics Physician
ME70848
FL
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
ME70848
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000788686A
—
GA
05
—
000788686C
—
GA
05
—
253962400
—
FL
05
—
4047441
—
TN
Enumeration date
01/25/2006
Last updated
01/05/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us