MICHAEL BLADE SULLIVAN

MIRAMAR, FL
NPI1295293835
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: FL  OS18349)
Enumeration Date2019-03-02
Last Update Date2026-02-12
Business Address
Dr. MICHAEL BLADE SULLIVAN DO
3601 SW 160TH AVE STE 250
MIRAMAR, FL 33027-6314
Phone number: 954-399-4673
Mailing Address
Dr. MICHAEL BLADE SULLIVAN DO
1506 KINDER LN
DANDRIDGE, TN 37725-6521
Phone number: 561-828-1824
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