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Individual

DR. JOHN P SULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1715 37TH PL STE 101, VERO BEACH, FL 32960-4502
(772) 778-0600
(772) 778-4005
Mailing address
1715 37TH PL STE 101, VERO BEACH, FL 32960-4502
(772) 778-0600
(772) 581-8005

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
225344
NY
207X00000X
Orthopaedic Surgery Physician
Primary
ME165012
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02550362
NY
05
121024600
FL
Enumeration date
09/06/2005
Last updated
03/31/2025
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