Hoff-Sullivan, Emily

Hoff-Sullivan, Emily is an individual health care provider with primary practice located at 2820 Gibson Rd , Jacksonville FL 32207-4804. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Hoff-Sullivan, Emily can be contacted via phone (904) 399-3150.

Contact Information

Primary practice address
2820 Gibson Rd Jacksonville FL 32207-4804
Phone: (904) 399-3150
Fax: (904) 399-3515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 043649 Georgia
Other Service Providers / Specialist 174400000X ME0073341 Florida

Profile Details

NPI number 1649272956
LBN Legal business name Hoff-Sullivan, Emily
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Jan 5th, 2010 - about 15 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 1649272956 NPPES
Georgia Other 162188000 US DOL
Georgia MEDICAID 00772912A US DOL
Georgia Other 41456 US DOL
Georgia Other 200027956 US DOL
Georgia Other 4299040001 US DOL

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