DAVID SULLIVAN


Address: 2823 Glover Carlton Rd, Perry, FL 32348-7640
Phone: 8505844775

DAVID SULLIVAN (NPI# 1053733253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171WH0202X Contractor
Specialization: Home Modifications
JB2110 FL Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 690734200 05

Other Providers DAVID SULLIVAN

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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

Office Location

Street Address 2823 GLOVER CARLTON RD
City PERRY
State FL
Zip Code 32348-7640

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 171WH0202X
Grouping Other Service Providers
Classification Contractor
Specialization Home Modifications

Taxonomy Definition

Definition to come...

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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
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Competitor

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City PERRY
Zip Code 32348

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Dataset Information

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.

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