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Samary Sullivan
NPI 1649637406 · on the registry since 2016 · sole proprietor
Practice
- Address
- 6190 Nw 186th St
Apt 207
Hialeah, FL 33015 - Phone
- (786) 612-1141
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 2355S0801X
2355S0801X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-01-25
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