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Miranda Christine Sullivan, MD
Student in an Organized Health Care Education/Training Program in Tampa, Florida
NPI 1962142737

Miranda Christine Sullivan is a Student in an Organized Health Care Education/Training Program based in Tampa, FL. Miranda Christine Sullivan practices in Tampa, FL and has the professional credentials of MD. The NPI Number for Miranda Christine Sullivan is 1962142737 and holds a License No. (Florida).

The current practice location address for Miranda Christine Sullivan is 17 Davis Blvd Ste 308, Tampa, FL and can be reached out via phone at 813-974-2201.

Location: 17 Davis Blvd Ste 308, Tampa, FL, 33606-3438
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962142737
Provider Name
Miranda Christine Sullivan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
17 Davis Blvd Ste 308, Tampa, FL, 33606-3438
Phone Number
813-974-2201
Fax Number
Provider Enumeration Date
03/30/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17 Davis Blvd Ste 308
City
Tampa
State
Florida
Zip
33606-3438
Phone Number
813-974-2201
Fax Number
person
Provider Business Mailing Address Details
Address
17 Davis Blvd Ste 308
City
Tampa
State
Florida
Zip
33606-3438
Phone Number
813-974-2201
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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