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David Sullivan
NPI 1053733253 · on the registry since 2014
Practice
- Address
- 2823 Glover Carlton Rd
Perry, FL 32348 - Phone
- (850) 584-4775
- Fax
- (850) 584-4735
Registry record
- Primary taxonomy
- Home Modifications Contractor
171WH0202X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-01-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida