Individual
DR. CHARLES CURTIS SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MBA
Contact information
Practice address
120 MEDICAL BLVD, SUITE 108, SPRING HILL, FL 34609-0220
(352) 688-2118
(352) 688-3118
Mailing address
120 MEDICAL BLVD, SUITE 108, SPRING HILL, FL 34609-0220
(352) 688-2118
(352) 688-3118
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME88431
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCBS37656
BCBS
—
01
—
FIRST HEALTH 2160822
FIRST HEALTH
—
Enumeration date
01/28/2006
Last updated
11/16/2011
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