Sullivan, Maureen L
Sullivan, Maureen L is an individual health care provider with primary practice located at 8300 W Sunrise Blvd , Plantation FL 33322-5406. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Sullivan, Maureen L can be contacted via phone (954) 577-6000.Contact Information
Primary practice address
8300 W Sunrise Blvd
Plantation FL 33322-5406
Phone: (954) 577-6000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME53277 | Florida |
Profile Details
NPI number | 1104892835 |
---|---|
LBN Legal business name | Sullivan, Maureen L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 23rd, 2006 |
Last updated | Oct 24th, 2011 - about 13 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 | 1104892835 | NPPES |
Pennsylvania | MEDICAID | 001802792 |
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