Individual
BRITTANY SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
100 S ASHLEY DR STE 600, TAMPA, FL 33602-5300
(813) 386-8300
Mailing address
100 S ASHLEY DR, STE 600, TAMPA, FL 33602-5300
(910) 568-9297
(813) 701-9323
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17723
FL
207R00000X
Internal Medicine Physician
91289
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17723
MEDICAL LICENSE
FL
Enumeration date
04/03/2018
Last updated
02/29/2024
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