SAMANTHA JANE SULLIVAN

GAINESVILLE, FL
NPI1508600859
Former NameSAMANTHA JANE AVALOS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: FL  11033413)
Enumeration Date2024-06-21
Last Update Date2024-12-12
Business Address
SAMANTHA JANE SULLIVAN APRN
1600 SW ARCHER RD
GAINESVILLE, FL 32610-3001
Phone number: 352-273-9079
Mailing Address
SAMANTHA JANE SULLIVAN APRN
PO BOX 100288
GAINESVILLE, FL 32610-0277
Phone number: 352-273-9079