Sullivan, Taylor Anne
Sullivan, Taylor Anne is an sole proprietor health care provider with primary practice located at 421 N Woodland Blvd Unit 8284, Deland FL 32723-8300. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Sullivan, Taylor Anne can be contacted via phone (386) 822-7152.Contact Information
Primary practice address
421 N Woodland Blvd Unit 8284
Deland FL 32723-8300
Phone: (386) 822-7152
Fax: (386) 822-8143
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AL 4291 | Florida |
Profile Details
| NPI number | 1912368192 |
|---|---|
| LBN Legal business name | Sullivan, Taylor Anne |
| Credentials | M.S., ATC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 15th, 2016 |
| Last updated | Mar 15th, 2016 - about 9 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 | 1912368192 | NPPES |
| Florida | Other | AL 4291 | FLORIDA ATHLETIC TRAINING ASSOCIATION LINCENSURE |
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