Individual
DR. COLIN A SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6901 SIMMONS LOOP, RIVERVIEW, FL 33578-9498
(813) 302-8000
(813) 874-5908
Mailing address
2502 W SAINT ISABEL ST STE B, TAMPA, FL 33607-6355
(813) 874-5707
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME130061
FL
Other
Enumeration date
04/08/2014
Last updated
02/16/2018
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