Sullivan, Peter
Sullivan, Peter is an individual health care provider with primary practice located at 3501 Johnson St , Hollywood FL 33021-5421. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuroradiology, which is considered as his primary health care specialty. Sullivan, Peter can be contacted via phone (954) 987-2000.Contact Information
Primary practice address
3501 Johnson St
Hollywood FL 33021-5421
Phone: (954) 987-2000
Fax: (954) 437-6628
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | ME89917 | Florida |
Profile Details
| NPI number | 1285637330 |
|---|---|
| LBN Legal business name | Sullivan, Peter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Dec 16th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285637330 | NPPES |
| Florida | MEDICAID | 270159600 | |
| Florida | Other | 50335 |
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