Individual provider · Type 1 NPI

Jack Osullivan, DO

General Practice Physician · Jacksonville, FL

NPI number 1649845264 Active

Practice location

2080 Child St
Jacksonville, FL 32214-5005

Call (902) 542-7300 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
General Practice Physician Primary 208D00000X0102207445 (VA)
Military Health Care Provider 171000000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1649845264

Jack Osullivan, DO's National Provider Identifier is 1649845264, issued on May 25, 2021. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 22, 2023.