Sullivan, Peter

Sullivan, Peter is an individual health care provider with primary practice located at 3501 Johnson St , Hollywood FL 33021-5421. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuroradiology, which is considered as his primary health care specialty. Sullivan, Peter can be contacted via phone (954) 987-2000.

Contact Information

Primary practice address
3501 Johnson St Hollywood FL 33021-5421
Fax: (954) 437-6628
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X ME89917 Florida

Profile Details

NPI number 1285637330
LBN Legal business name Sullivan, Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Dec 16th, 2021 - about 3 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 1285637330 NPPES
Florida MEDICAID 270159600
Florida Other 50335

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