Sullivan, Tory

Sullivan, Tory is an individual health care provider with primary practice located at 16100 Ne 16Th Ave Ste A , North Miami Beach FL 33162-4708. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Sullivan, Tory can be contacted via phone (305) 652-8600.

Contact Information

Primary practice address
16100 Ne 16Th Ave Ste A North Miami Beach FL 33162-4708
Phone: (305) 652-8600
Fax: (305) 652-3139
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME81131 Florida

Profile Details

NPI number 1639137169
LBN Legal business name Sullivan, Tory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Apr 16th, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639137169 NPPES
Florida MEDICAID 267268500

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