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Joseph C Sullivan III, MD
Diagnostic Radiology Physician in Brooksville, Florida
NPI 1043303548

Joseph C Sullivan III is a Diagnostic Radiology Physician based in Atlanta, FL and is specialized in Diagnostic Radiology. Joseph C Sullivan III practices in Brooksville, FL and has the professional credentials of MD. The NPI Number for Joseph C Sullivan III is 1043303548 and holds a License No. 052837 (Florida).

The current practice location address for Joseph C Sullivan III is 11375 Cortez Blvd, Brooksville, FL and can be reached out via phone at 904-236-5884 and via fax at 904-346-4334.

Location: 11375 Cortez Blvd, Brooksville, FL, 30368-6700
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043303548
Provider Name
Joseph C Sullivan III
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
11375 Cortez Blvd, Brooksville, FL, 30368-6700
Phone Number
904-236-5884
Fax Number
904-346-4334
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04923068 05 MS
051543136 01 AL BCBS
051543144 01 AL BCBS
009942662 05 AL
009942659 05 AL
199147922A 05 GA
009942658 05 AL
009942660 05 AL
051543137 01 AL BCBS
051543142 01 AL BCBS
P00406959 01 AL RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
11375 Cortez Blvd
City
Brooksville
State
Florida
Zip
34613-5409
Phone Number
904-236-5884
Fax Number
904-346-4334
person
Provider Business Mailing Address Details
Address
11375 Cortez Blvd
City
Brooksville
State
Florida
Zip
34613-5409
Phone Number
904-236-5884
Fax Number
904-346-4334
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
2085N0700X
License No.
54994 (Tennessee)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
052837 (Georgia)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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