Individual provider · Type 1 NPI

Matthew Sullivan, PA

Physician Assistant · Jacksonville, FL

NPI number 1952079915 Active

Practice location

9765 San Jose Blvd Ste 102
Jacksonville, FL 32257-5467

Call (904) 260-5757 Map

Fax (904) 268-0733

Mailing address

3748 Bowden Rd S
Jacksonville, FL 32216-6223

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	None listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1952079915

Matthew Sullivan, PA's National Provider Identifier is 1952079915, issued on Sep 2, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Jacksonville, FL. The record was last updated on Dec 10, 2021.