Sullivan, Jonathan M

Sullivan, Jonathan M is an sole proprietor health care provider with primary practice located at 11 Florida Park Dr N , Palm Coast FL 32137-3866. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Sullivan, Jonathan M can be contacted via phone (386) 445-4734.

Contact Information

Primary practice address
11 Florida Park Dr N Palm Coast FL 32137-3866
Phone: (386) 445-4734
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 36003666 Ohio

Profile Details

NPI number 1528387958
LBN Legal business name Sullivan, Jonathan M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2010
Last updated Mar 31st, 2021 - about 4 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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