Individual provider · Type 1 NPI

Michael L. Sullivan, PA

Surgical Physician Assistant · Sarasota, FL

NPI number 1740205863 Active

Practice location

1540 S Tamiami Trl, Suite 303
Sarasota, FL 34239-2930

Fax (941) 917-8793

Mailing address

PO Box 863407
Orlando, FL 32886-3407

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA3485 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1740205863

Michael L. Sullivan, PA's National Provider Identifier is 1740205863, issued on Jul 12, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Sarasota, FL. The record was last updated on Apr 4, 2016.