Individual
CAITLIN TARA SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1197
(352) 674-5000
Mailing address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1197
(352) 674-5000
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
OS019257
PA
Other
Enumeration date
04/05/2012
Last updated
11/14/2023
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