DAVID SULLIVAN (NPI# 1053733253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053733253 |
Entity Type | Individual |
Full Name | DAVID SULLIVAN |
Practice Address |
2823 Glover Carlton Rd Perry FL 32348-7640 |
Practice Telephone | 8505844775 |
Practice Fax Number | 8505844735 |
Mailing Telephone | 8505844775 |
Mailing Fax Number | 8505844735 |
Enumeration Date | 2014-01-08 |
Last Update Date | 2014-01-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171WH0202X |
Contractor Specialization: Home Modifications |
JB2110 | FL | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 690734200 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669966966 | David Lee Sullivan Jr. | Case Manager/Care Coordinator | 513 Cannons Ln, Louisville, KY 40207-3645 | 2018-06-20 |
1154856987 | David Sullivan | Massage Therapist | 100 N Grape St Apt 303, Medford, OR 97501-3151 | 2017-04-30 |
1023359312 | David Sullivan | Dentist | 5833 Phyliss Ln, Mint Hill, NC 28227-9031 | 2013-03-11 |
1952550402 | David Sullivan | Counselor | 2955 Valmont Rd Ste 110, Boulder, CO 80301-1360 | 2008-09-09 |
1558573956 | David E Sullivan | Social Worker | 704 Marketview Ct, Fayetteville, NC 28301-4868 | 2007-05-06 |
1467670026 | David Dell Sullivan | Physical Therapist | 499 Casey Way, Grand Junction, CO 81504-6281 | 2007-04-20 |
1578692760 | David Matthew Sullivan | Chiropractor | 104 Biddle Ave, Suite G, Harrison, OH 45030-2528 | 2007-03-05 |
1073648671 | David Joseph Sullivan | Optometrist | 276 S Hollywood Blvd, Steubenville, OH 43952-2422 | 2007-02-22 |
1033276837 | David Michael Sullivan | Dentist | 5177 N Bend Rd, Cincinnati, OH 45211-1900 | 2007-01-02 |
1720160575 | David R Sullivan | Dentist | 2713 Pinedale Rd, Greensboro, NC 27408-4713 | 2006-10-20 |
Street Address |
2823 GLOVER CARLTON RD |
City | PERRY |
State | FL |
Zip Code | 32348-7640 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811328099 | Ashley Wambolt Mccormick | Registered Nurse | 1706 S. Jefferson, Perry, FL 32348 | 2013-12-12 |
1053692293 | Rocky Mountain Holdings LLC | Ambulance | 301 Industrial Park Dr, Perry, FL 32348 | 2011-09-01 |
1285959775 | Darrin G Ward | Acupuncturist | 1708 S. Byron Butler Pkwy, Perry, FL 32348 | 2010-03-29 |
1568569937 | Apalachee Center Inc | Community/Behavioral Health | 1421 Old Dixie Highway, Perry, FL 32348 | 2006-09-20 |
1376645648 | Wilburn Hiram Peacock Jr. | Pharmacist | 2057 W Byron Butler Pkwy, Perry, FL 32348 | 2006-09-05 |
1932202272 | Horace Michael Knowles | Pharmacist | 2057 W. Byron Butler Pkwy, Perry, FL 32348 | 2006-09-05 |
1881110047 | Dorothy Tucker | Nurse's Aide | 1106 North Ave, Perry, FL 32348 | 2017-08-19 |
1780027946 | Patricia Ngozi Kalu | Nurse Practitioner | 8501 Hampton Springs Rd, Perry, FL 32348 | 2013-04-08 |
1760722771 | Disc Village, Inc. | Community/Behavioral Health | 1421 Old Dixie Highway, Perry, FL 32348 | 2013-02-28 |
1790008191 | Marcia B Bass | Nurse Practitioner | 1702 S Jefferson St, Perry, FL 32348 | 2010-03-12 |
Find all providers in zip 32348 |
Taxonomy Code | 171WH0202X |
Grouping | Other Service Providers |
Classification | Contractor |
Specialization | Home Modifications |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073143905 | D Roberts Construction | Contractor | 2009 Se Madison St, Stuart, FL 34997-5859 | 2020-01-20 |
1619510765 | Lotus Yamna Dinan | Contractor | 14505 Rialto Ave, Brooksville, FL 34613-5050 | 2019-10-22 |
1588211957 | Oac Action Construction Corp. | Contractor | 11980 Sw 144th Ct Ste 101, Miami, FL 33186-8603 | 2019-08-21 |
1780236331 | W. M. Ventures, LLC | Contractor | 1430 Nw 21st St, Homestead, FL 33030-3174 | 2019-07-14 |
1891257697 | Ba Skinner Group Inc. | Contractor | 1575 Aviation Center Pkwy Ste 525, Daytona Beach, FL 32114-3864 | 2019-04-02 |
1013478247 | Saul Medina | Contractor | 8421 Cheswick Oak Ave, Jacksonville, FL 32244 | 2019-03-29 |
1952874893 | Yettie Thompkins | Contractor | 414 Lincoln Rd, Cocoa, FL 32926-4147 | 2019-01-03 |
1962998021 | South Florida Home Modification LLC | Contractor | 931 Village Blvd Ste 905-417, West Palm Beach, FL 33409-1803 | 2018-07-02 |
1356836100 | Goodman Services, LLC | Contractor | 2132 22nd Ave S, St Petersburg, FL 33712-3117 | 2018-06-25 |
1710471883 | Alfredo Llop | Contractor | 7976 Nw 114th Path, Medley, FL 33178-2503 | 2018-06-21 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on DAVID SULLIVAN.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.