Organization
TORY SULLIVAN MD PA
Active
Organization
TORY SULLIVAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TORY SULLIVAN MD (PRESIDENT)
(305) 652-8600
Entity
Organization
Contact information
Practice address
16100 NE 16TH AVE STE A, NORTH MIAMI BEACH, FL 33162-4708
(305) 652-8600
(305) 652-3139
Mailing address
16100 NE 16TH AVE STE A, NORTH MIAMI BEACH, FL 33162-4708
(305) 652-8600
(305) 652-3139
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME81131
FL
Other
Enumeration date
04/18/2007
Last updated
11/18/2009
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