person
Michael L Sullivan, PA
Surgical Physician Assistant in Sarasota, Florida
NPI 1740205863

Michael L Sullivan is a Surgical Physician Assistant based in Orlando, FL and is specialized in Surgical. Michael L Sullivan practices in Sarasota, FL and has the professional credentials of PA. The NPI Number for Michael L Sullivan is 1740205863 and holds a License No. PA3485 (Florida).

The current practice location address for Michael L Sullivan is 1540 S Tamiami Trl, Sarasota, FL and can be reached out via phone at 941-917-8791 and via fax at 941-917-8793.

Location: 1540 S Tamiami Trl, Sarasota, FL, 32886-3407
person
Provider Profile Details
NPI Number
1740205863
Provider Name
Michael L Sullivan
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1540 S Tamiami Trl, Sarasota, FL, 32886-3407
Phone Number
941-917-8791
Fax Number
941-917-8793
Provider Enumeration Date
07/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Y00N0 01 FL BCBS
261645900 05 FL
1154PA 05 SC
institution
Provider Business Practice Location Address Details
Address
1540 S Tamiami Trl
City
State
Zip
34239-2930
Phone Number
941-917-8791
Fax Number
941-917-8793
person
Provider Business Mailing Address Details
Address
1540 S Tamiami Trl
City
State
Zip
34239-2930
Phone Number
941-917-8791
Fax Number
941-917-8793
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA3485 (Florida)
Definition
Definition to come...
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