Sullebarger, John T

Sullebarger, John T is an individual health care provider with primary practice located at 4200 N Armenia Ave Suite 5, Tampa FL 33607-6438. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Sullebarger, John T can be contacted via phone (813) 284-2200.

Contact Information

Primary practice address
4200 N Armenia Ave Suite 5 Tampa FL 33607-6438
Phone: (813) 284-2200
Fax: (813) 377-1700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X ME62629 Florida

Profile Details

NPI number 1679516728
LBN Legal business name Sullebarger, John T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Sep 13th, 2023 - about 2 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 1679516728 NPPES
Florida Other 17787 BLUE CROSS BLUE SHIELD
Florida MEDICAID 370815200 BLUE CROSS BLUE SHIELD

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