Sullivan, John P

Sullivan, John P is an individual health care provider with primary practice located at 7740 Point Meadows Dr Suite 3A, Jacksonville FL 32256-9179. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Sullivan, John P can be contacted via phone (904) 527-3577.

Contact Information

Primary practice address
7740 Point Meadows Dr Suite 3A Jacksonville FL 32256-9179
Phone: (904) 527-3577
Fax: (904) 527-3514
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME0064370 Florida
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X ME64370 Florida
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 37090 Georgia

Profile Details

NPI number 1619977345
LBN Legal business name Sullivan, John P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Apr 5th, 2017 - about 8 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 1619977345 NPPES
Florida MEDICAID 373365300
Florida MEDICAID 00578113A

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