Sullivan, Charles Curtis
Sullivan, Charles Curtis is an sole proprietor health care provider with primary practice located at 120 Medical Blvd Suite 108, Spring Hill FL 34609-0220. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sullivan, Charles Curtis can be contacted via phone (352) 688-2118.Contact Information
Primary practice address
120 Medical Blvd Suite 108
Spring Hill FL 34609-0220
Phone: (352) 688-2118
Fax: (352) 688-3118
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME88431 | Florida |
Profile Details
NPI number | 1821069923 |
---|---|
LBN Legal business name | Sullivan, Charles Curtis |
Credentials | MD, MBA |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 28th, 2006 |
Last updated | Nov 16th, 2011 - about 14 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 | 1821069923 | NPPES |
Other | BCBS37656 | BCBS | |
Other | FIRST HEALTH 2160822 | BCBS |
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