Individual
AMBER SULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2050 CLASSIQUE LN, TAVARES, FL 32778-5787
(352) 508-5243
Mailing address
PO BOX 1554, TAVARES, FL 32778-1554
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
FL
Other
Enumeration date
06/09/2017
Last updated
06/09/2017
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