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
Fax: (352) 688-3118
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821069923 NPPES
Other BCBS37656 BCBS
Other FIRST HEALTH 2160822 BCBS

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