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Scott G Sullivan, PA
Medical Physician Assistant in Panama City, Florida
NPI 1750440004

Scott G Sullivan is a Medical Physician Assistant based in Panama City, FL and is specialized in Medical. Scott G Sullivan practices in Panama City, FL and has the professional credentials of PA. The NPI Number for Scott G Sullivan is 1750440004 and holds a License No. PA9110596 (Florida).

The current practice location address for Scott G Sullivan is 408 W 19Th St, Panama City, FL and can be reached out via phone at 850-481-1101.

Location: 408 W 19Th St, Panama City, FL, 32405-4602
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750440004
Provider Name
Scott G Sullivan
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
408 W 19Th St, Panama City, FL, 32405-4602
Phone Number
850-481-1101
Fax Number
Provider Enumeration Date
12/06/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
408 W 19Th St
City
Panama City
State
Florida
Zip
32405-4602
Phone Number
850-481-1101
Fax Number
person
Provider Business Mailing Address Details
Address
408 W 19Th St
City
Panama City
State
Florida
Zip
32405-4602
Phone Number
850-481-1101
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA9110596 (Florida)
Definition
Definition to come...
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